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rne �,�.� <br />an oF <br />��Terett <br />259-A745 <br />'~ �'�"�N`�1'F�UCTlON <br />�ERMI� <br />^ <br />PERMIT NO. � 7�17 Z <br />❑ DEMOi.IT10N ❑ COMBINATION L� BUILDING ❑ MECHANICAL ❑ PLJMBING CXl SIGN <br />OWNER MRILADDPE55 CITV ZIP PHONE <br />Orow�,�t 125 SW Everett Mall Way Everett, WA 98204 <br />ARCHII'ECT OR C[SIGNE(i MAII qDORE55 CITY ZIP PHONE <br />..C:rERAI.CONTRACTOR MAII.ADORESS CITY ZIP 4MOt1E LICENSE+ <br />Martir. Bros. Signs, Inc. P.O. Box 1012 Tualatin, OR 97062 jcSixBx (503) 639-1760 <br />MCCNANICNICONfflFCTOR MFILAppRESS CITY 2iP FHONE LICENSEM <br />MARTI BS 154 NL <br />PWMB111GCONTR4CTON MAIL400RESS CITY Zlv P�IGnE UCENSEM <br />❑ NEW ❑ ADDITION [�ALTERATION ❑ P.EPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S 1r200. <br />DESCfllO[ W�e K . <br />Manufadure and install a 1 4'r8' double face sign to replace existing sign. ./- �q/f 5,��� <br />MEAT�OURCE <br />❑ ELECTRICI7Y ❑ GAS ❑ WOhDSTOVE ❑ OTHER <br />PROPOSEU USE OF OUILOING <br />Retail I HEREBY CERTIFY THA�i� I HAVE READ AND EXAMINED THIS <br />lOT _ OLOCN _ <br />125 SW Everett Mall Way <br />PLt1M81NG <br />NO. TYPE OF FI%TURE ON ITEM <br />WATEfi CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAI <br />ORINKING FOUNTAIN <br />FLOOR D(7AIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEP <br />SINK ISERVICE — BAF. ET <br />USEZONE <br />SIZE OF pLOG. <br />n�rucanoNntc.ov <br />SH <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PEAHSC1pACN <br />LOT AHEA <br />OCCUPANCY G(IOUf <br />NO OF STOiilES <br />1 ❑ YES ❑ NO <br />PLANS CHECNED F1Y <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PFOVISIONS OF LAWS AND ORDINP.NCES <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 T6 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION UR <br />THE PEFFORMANCE OF CONSTRUCTION. <br />SIGNRTU�E OF CONTRACTOfi. AUTHOR2ED AGENT. OR OWNER OAT[ <br />X <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />NC — A/HNDLG UNITS — H.P. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIflED A�C. UNITS — B.T.U. <br />FORCED AIF SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — 8 T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESOflYERS <br />VENTILATION FAN <br />FiANGE HOOD <br />WA7ER HEATER <br />WOODSTOVE <br />METAL PIRE?LACE 8 CHIMNEV <br />FIREPLACEINSERI� <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VAC4NT UTE <br />I]YES ❑NO <br />No. ov owe�u <br />MA%.00G LOPp <br />APPR. FOR ISSURNCE OV <br />Be <br />SUBTOTAL <br />PENMIT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />ORIVEWAY PERMiT <br />TOTAL <br />S�.�i0�.�0 � <br />Sec.304(e) <br />FEE <br />RECEIPT NO, . <br />WHEN PROPERLV VALIDATEO (IN THIS SPACE) THIS IS VOUR PERMIT <br />i�i'�Ji�.i.:::; FIL'r_ <br />N <br />L� <br />CD <br />O7 <br />T� <br />