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�.: <br />Rt.S <br />�}•... <br />� , <br />P <br />Iu: ,' <br />"�E"��eoF ''"` (�NSTRUCTIOId � '�`' <br />everet� PERMIT PERMITNO. Z�OS I <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDINIU ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />u — <br />OWNEF MAILADDFESS CITY ZIP PHONc <br />TENANT MAILA�DRE55 CITV ZIV PMONE <br />C7rease Monkey 430 SW Everett Mall Way Everett 98204 <br />ARCHITECTOR�ESIGM1ER MAILADORE55 CITV ZIP PNONE <br />GENEflALCONTflAC10R MAILAO�PESS CITY 21P FHONE LICENSEM <br />Dwinell's Central Neon 3614 6th Ave. S. Seattle 98.134 292-8865 DWINECN204MI <br />McCMANICAL LONTIiACTOR MAIL AD�RESS CITY ZIP PMONE LICENSE X <br />PLUMBINGCONTRAGTOR MAILPDORESS dTV ZIP PHONE LICENSEx <br />CLASS OF WORK <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />��'.'„' . CONTACT PEFSON AND PMONE NO. IF OTHEN TMFN ABOVE <br />� ; CONTRACTPRICEOFWORK:� B500.00 Lloyd Peterson 292-8868 <br />DESCRIBE WONK AND SOUARE FOOTAGE INVOLVED <br />�� InsY.all one pylon sign and 2 bldg. signs <br />x <br />S'e <br />�i.�i. C <br />' � � �FOPOSED I1SE OF 9UI�OING <br />�j',_, _ <br />Automotive repair <br />� LEGALOESCRIPTIONOFPROPERTY�SHOWBEIOWOiiATTPCHFOUNCOPi[5� <br />�y�/. <br />LOT - BLOCK - OF <br />i: �' ii <br />P.;., . <br />r..,:.:� � �, <br />JOB ADDRESS <br />PLUMBING <br />� NO. TYPE OF FI%TUHE 0 <br />- WA7ER CLOSEf (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />�� KITCHEN SINK & DISP. <br />' OISHWASHER <br />- LAUNDRYTRAY <br />� CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />� FLOOR DRAIN <br />� BACKFLOW PREVEN7ER5 <br />' ROOFDRAINS-RAINLEAD[RS <br />SINK (SEflVICE - BAR. Ef4) <br />FFiONT SETOnCN <br />C-1 <br />iYPE OFCONS7flUCilON ALL00.'AOIE <br />OCCUPANCYLOAO <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />REARSETBACN <br />LOT AREA <br />ACiIIAL <br />NO. OF STORIES <br />FIBE SPRINKLERS REO'D <br />❑ YES ❑ NO <br />REASONFOFSPRINKlERS <br />APPLICATION ACC. BY PLANS APPROVED <br />s.�. <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C - NHNDLG UNI7S - H.P. <br />FORCED AIR SVSTEIdS - B.T.U. M EA. <br />UNI7'HEATEflC-B.T.U. M <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODS70VE <br />METAL FIREPIACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP _ <br />GAS PIPING <br />EXHAUSTFAN <br />S SUBTOTAL <br />j PEPMIT <br />S I TOTAL FEt: <br />SiDE5Ef0ACK PLANCHECKNUMBER FEE <br />VACANi SITE BUILDING CO[ <br />FEES � <br />❑ YES O NO <br />a�^'��[� NO.OFONELLINLONIiS BUILDING SBSOO.00 <br />GnUVP <br />PLUMBING <br />BASEMENT <br />O YES ❑ NO MECHANICAL SIO4IB9 <br />HEIGMTLIMITATION OTHER <br />�n <br />STATE BUILDING SURCHARGE BLDG <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS CHECf: <br />LOCALSALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALIDATED T <br />PERMITS EXPIRE IF WORK IS NOT COMMENf.ED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />ADDRESS FILE <br />FEE <br />� <br />S <br />S <br />RECEIPT NO. <br />FEE <br />OOORHS6z0 � �K:t:f:K <br />�r <br />IS YOUR PERPAIT <br />���� �na <br />c. �: L � . <br />