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��'� - C''7NSTRUCTION � <br /> aTv oF <br /> everett PERMIT PERMITNO. � '7932 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ M�CHP�N�CAL � PLUMBING �1 SIGN <br /> OWNEF MAiLFD�RE55 CIT•: ZIP GHONE <br /> Bicycle Center 4718 cvergreen Way Everett 98203 252-1441 <br /> ARCHITECTOROESIGNER MAILADDRE55 CITv ZIP RANE <br /> GcNERALCOM'RACTOH MAILADDRE55 CITY ZIP PHONE LICEh�• <br /> Ace Neon Signs 3512 Smith St. Evere�� 98201 8% 33,-8585 ACENESI13666 <br /> AIECHANICRLCONTRRCTOR AIAILAD�RE55 CITY ZIF PHONE UCENSE• <br /> PLIIMBINGCONiRACTOR MAILADDPE55 dTY ZIP PMDNE UCENSE• <br /> CLASS OF WOHN <br /> .�.�NEW ❑ AUDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING R�LOGTION <br /> VALUATION OF WORK <br /> S 5��.�� <br /> DESCRIBE WOHK . <br /> Install addition to exsisting sign. <br /> HEATSOUFCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE , ❑ OTHER <br /> PROPOSEC USE OF BU�LOING <br /> I HEF�BY CFRTIFY THAT I HAVE READ AND EXAMIf�J THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALUESCRIPTIONOFYROPERTY�SHCWBELOWOHATTACMFOURCOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_a�ocK _oF_ GOVERNIMG THIS TYPE OF WORK W�LL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIIJ OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCT'IGN OP. <br /> THE PERFORMANCE OF CONSTRUCTIOIJ. <br /> JOBAOORE55 SiGNASUREOFCONTFACTOR.AUTM09iZc0AGENT.OROWNEfl DATE <br /> 4718 Evergreen Way X <br /> PLUMBING MECHANICAL Tff�NSNG'!-��iri 7� S� <br /> NO. TYPE Of FiXTURE�R ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/lSNDLG UNITS—H P. � <br /> BATHTUB REFRIGERAT:"1NUNITS—HP.EA. � <br /> LAVATORV(WASH BASIN) BOILERS—B.LI�/H.P. <br /> SHOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.TL. M EA. <br /> DISHWASHER WP.LLHEATERS—B.T.U. M <br /> LPUNDRYTRqV UNITHEATERS—B.T.U. M <br /> CLOTHES WPSHER EVAPORATIVE COOLERS <br /> URINAL C_OTHES DRYERS <br /> �RINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN ' RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER ' <br /> ROOF DRAINS—flAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIR6PLACF n� ��IAINEV <br /> FII��. 'IACEIN^tq� - <br /> HC41 �'��r��� <br /> GAS PIPING ��� <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PEAMIT S PEP.MIT <br /> TOTAL FEE S TOTAL FEE <br /> FRONTSETBACK REAqSETBACK SIOESETOFCH PLANI:HECKNUMBER FEE RECEIPTNO. <br /> USEZONE IOtAREA <br /> VACANTSITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST. OCCUPANLYOROUP NO.OFDWELLINGUNITS BUILDING S SOO.00 5 OO <br /> SIZEOFOL�G. NO.OFSTORIES MA%.00GLOAD PLUMBING O���Q�Q7 1:4� PH OOORA4550 �K:k:'s:�K <br /> MECHANICAL � <br /> unnn oov� <br /> INVESTIGATIONFEE g��.soa�e� ;,��00 <br /> FIRE 5�91NKLERS REOUIRED ❑VES ❑NO STATE BUILDING SURCHARCaE (fUUUUGS 6 <br /> n az � n <br /> STATE ENERGY SURCHARGE CHECV� SZ .Ol� <br /> APPUG4TIONACC.BV PLANSCMECRE�OY APPR FONISSUANCEBY <br /> E�2C. N.V. DRIVEWAVPERMIT <br /> S.H. L. Lallahan TOTAL 5 00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIOATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> Sign to be all on private property. N <br /> C"7 <br /> � <br /> � <br /> � <br /> AO^RE55 Fi!_t <br />