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the Evergreen <br />CITV Of <br />eve�ett <br />259-8745 <br />�. <br />�""�NSTRU�TI�N <br />PER�IIli <br />PERMIT NO. �� 7 O U <br />❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS CiTV 21P PHONE <br />Kobacker/Picway P.O. Bor. 16251 Columbus OH 43216 614-683-7400 <br />FRCHITECTORDESIGNER MAILAODRE55 CItY ZIP PHONE <br />GENEIIALCONTRACTOR MAIIADOPESS CITV 21P PMONE uCENSEM <br />EGE System INL 14214 PIE 21st ST. Bellevue 98007 746-7086 EGESYSC177K3 <br />MECHANICA�CONTRACTOR MAILADORE55 f,ITv ZIP PMONE UCENSE� <br />PLUMBING CONTRACTOR MnIL ADDRESS GTV ZIP PHONE LICENSE R <br />CLASSOF WONK <br />❑ NEW ❑ ADDITION C�ALTERATION ❑ REPAIR ❑ UEMOLITION ❑ BUILDING RELOCATION <br />VALUA710N OF WORK <br />S 16��0�.�0 <br />pESLHIBE WORN ' <br />Install and amintain approx 190' of illuminated awning. <br />MEATSOUqGE <br />❑ ELECTRICITY ❑ GAS O WOODSTOVE O OTHER <br />Shoe Store <br />�or _ o�ocK _ <br />JO��DDRESS <br />7807 Ever <br />PLUMBING <br />Foun <br />NO. TYPE OF FIXTI <br />WATER CLOSET (TOILETI <br />�ATHTUd <br />LAVATORV (WASH BASIN� <br />SNOWER <br />KITCHEN SINK 8 DISP. <br />OISMWASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINI <br />SINK ISERVICE — BAR. <br />USEZONE <br />TYPE OF CONST <br />V-N <br />SIZE OF OLDG <br />�oPY <br />FIPE SPRINNLERS REOUIRf <br />APPLILATIONACC DY <br />b1. M. <br />SUBTOTAL <br />PEHMIT <br />FEE <br />'-..".-' VAC�NTSRE <br />❑VES XJNO <br />OCCUPANCYGROUP ND OFDWEIU <br />B�2 0 <br />PLANSCMECNEO <br />B.E. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PRO!'ISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN 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 CONSTRUCTION OR <br />THE PERFORMFlNCt�F CONSTRUCTION. <br />XSIG^A�� `� ONTRpCT `' U MORI�ZE;AGENT.Ofi OWNER ��_/fATE/9 7 <br />� \ � <br />NO. <br />A/C — A/HNDLG UNITS — M.P. <br />flEFRIGERATION UNITS — H.P. I <br />BOILERS — B.T.U./H.P <br />GAS FIRED A C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — BSL. <br />WALL MEATERS — 6.T.0 <br />UNIT HEATERS — d T.0 <br />EVAPORATIVE COOlERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIFEPLACEINSFRT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />87/18706 <br />FEES VALU <br />BUILDMG <br />PLUMBING <br />ran. occ iono <br />N�A MECHANICAL <br />NPPR iOR 65UAN('E Bv <br />L. C. <br />Fee <br />111.1 90681 <br />710N FEE <br />% <br />� � i�l: <br />INVESTIGATION FEE Sec 30a�e1 . . <br />STATE BUILDING SURCHARGE � <br />STATE ENERGv SUFCHAf7GE <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED IM THIS SPACE� TMIS IS YOUP PEF7MIT <br />�� <br />0 <br />�`• <br />� <br />l� <br />,'. � _. <br />