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`�� C"�NSTRUCTION -� "- C <br /> e��erett PERMI�' PERMITNQ:=� ��`� ! <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI. ❑ PLUMBING �1 SIGN <br /> OWNEH MAILADpRE55 CITY ZIP PNONE <br /> Dri�+ Motors 5200 Evergreen Way Everett, WA 9s203 353-7171 <br /> ARCNITEC'T OR DESIGNER MAIL ADDflE55 CITY ZIP PHONE <br /> GENERALCONINACTOR MAILADDRESS CITV ZIP PMONE LICENSE� <br /> Heath N.W. Inc. 11805 N.E. 116th Kirkland 98034 623-3100 HEATHN*330RJ <br /> MECMANICALCONTRALTOfi I.:AILADORE55 CITY ZIP PHONE LICENSE� <br /> PLNABINGCONTRAGTOR MAILAO�FESS QTY ZIP PNOYE LICENSEu <br /> CLASS OF WOflN <br /> k] NEW ❑ ADDITION ❑ ALTEPATION ❑ REPAIR ❑ DEMOLITION ❑ BUItD9NG RELOCATION <br /> VALUATION OF WORH <br /> s 45000.00 <br /> DESCRIBE WORK <br /> Install double face �,�R�� Pylon sign & message center <br /> MEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ 6THFR <br /> PROPOSEO USC OF 9UILOING <br /> Cdl` sal es I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCRIPTIONOFPROPERTY�SNOWBELOWOPATTP.CMFOURCOPIES� CORRECT. ALI. PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNI�JG TIi,S TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_B�OCN __ OF WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> _ VIOLATE OR CANCEL THE PRnvISIONS OF ANY OTHER <br /> STATE OR LOCAL LHW flEGULAI'ING CONSTqUCTION OR <br /> THE�PEF�FORMANCE OF CONSTRUCTION. <br /> aoenooaEa sic{�aTuvjEO�ONT R.4UTHORIZEDAGENT,OROWNER OATE <br /> 5�00 Evergreen Way X �z.� � z � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TUHE OR ITEM FEE NO. TYPE OF E�UIFMENT FEE <br /> WATEH CLOSET(TOILET� A/C—A/HNOLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH�ASIN) BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHENSINKBDISP. FORCEDAIRSVSTEMS—B.T.U. MEA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRVTRAV UNITHEATERS—B.T.U. M <br /> CLCTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNiAIN VENTILATION FAN <br /> FLOOR DRAIN PANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEAOERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.� METAL FIREPLACE 8 CHIMNEY <br /> FIflEPIACEI�SERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTO7AL <br /> PERMIT S PEflM1T <br /> TOTALFEE S TOTALFEE <br /> FRONrSETonCK eEnRSEiBaCn Si0E5ETBnGK PLANCHECKNUMBER FEE RECEIPTNO. <br /> 0^c/06I87 4:^c FM OOORH3961 R'k:k:k <br /> USE ZONE LOT A{IEF yq[qNT SITE <br /> ❑YES ❑No FEES VALU TION FEE <br /> TYPEOFCONST. OCCUPANCYGl10UP NO.OF�WELIINGUNITS BUILDING � 1J0 OO <br /> PLUMBING ap000645D <br /> 512E OF BLDG. NO OF STORIES MA% OCC LOAO Lt S � <br /> MECHA.NICAL �� <br /> � 1?NESTIGATION FEE Sec.304(e) <br /> FIRE SPRINKLERS flFOU1RED O YES ❑NO <br /> STAI r:BUILDING SURCHARGE <br /> STATE ENESGY SURCHAFiGE <br /> qPPUGATIONACC.OY PLNNSLHECREDBV APPR FORISSLIANCEOV <br /> DRIVEWAY PEFlMIT <br /> M.M. �,�, Torn� 138 00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(W THIS SPACE)T11�i IS VOUR PERMIT <br /> L� <br /> �..�� <br /> �` <br /> �` <br /> �� <br /> r,00r,Ess rn e <br />