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�`� (� QT)NSTRUCTION � (" _ <br /> everett PERMIT �RM,TN�=18937 <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING $SION <br /> OVY��ER MAILAD�RESS CITY ZIP PHONE <br /> Dwayne Iane 10525 Everqreen Way Everett 252-2157 <br /> ARCNITECT OR DESIGNER MAIL ADDRE55 CITY ZIP PMpNE <br /> OENEMLCONTMCTOq MAILqDORE55 CITY 21P PNONE LICENSEt <br /> Meyer Sign Do. 512 1,12 Minor ➢O[�[ Ave. N. Seattle, WA 98109 624-4243 MEYER1219H6 <br /> MECNANIGLLCpITH�CTON MAILADDPESS CITV ZIP PHONE LICEN9E11 <br /> PLUMBINOCONTMCTOH MAILADDPESS dTY 21P PNONE LICENSE� <br /> CLAS4 OF WORK <br /> � NEW ❑ ADDITION ❑ ALTEMTION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALIHITION OF WORK <br /> s 6500.00 <br /> DESCq18E WORK <br /> inetall 1 D/F pylon sign and 1 S/F facia sicm. <br /> �r soimce <br /> O ELECTR�CITY ❑ tiAS ❑ WOODSTOVE ❑ OTHER <br /> rnoroaeo use oF euaoiNc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> . car sales APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEMLDE9CNIPTIONOFPROPEPTY�SHOWBELOWOR�TfACHFOURCOFIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT�BLOCK _OF 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 /> STA R LOCAL LAW REGULATING CONSTRUCTION OR <br /> TH PER ORMANCE OF CONSTRUCTION. <br /> JOB ADp1ES5 SIG TUHE F CO TRA 70R.AUTHORIZED AGEN R OVMER DATE <br /> O� �G <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—AiHNDLG UNITS—H.P. <br /> BATHTUB REFRICaERATION UNITS—H.P.EA. <br /> UVATORY(WASH BASIN) BOILERS—B.T.U./H.P. <br /> ' 3HOM/ER GASFIREDA�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVS7EMS—BS.U. M EA. <br /> DISHWASHEP WALLHEATERS—B.T.U. M <br /> UUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> ���� CLOTHES DRVERS <br /> DRINKINO FCUMAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACNFLOW PREVEN7ERS WATER HEATER • <br /> ROOF DRAINS—RAINLEADEHS WOOD STOVE <br /> SINK(SERVICE—BAR,EfC.) MEfAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GASPIPING 1(", ' �i .'l�l 7� 1 #.:{::E-�. <br /> E%HAUSTFAN <br /> `:lt <br /> !IN TOTAL i SU! u^��. r � <br /> PEIIMNf t PER ^u��. <br /> TOTAIFEE i TO7AL- � rY <br /> SETB�CK REAfl SETB�CK SiDE SETB�CK PLAN CHECK NUMBER FF�--�;�� � ,�1E�FIPT NO. <br /> U3E IONE � :OT MFA VACANT SITE '— <br /> DYES ❑no FEES VALUATiON FEE <br /> TYI'EOFCON9T. OCCUPANCYQROUP NO.OFDWELLINGL'NITS BUILD�NG a6SOO.00 24 OO <br /> PLUMBING <br /> &2EOiBLOO. NO.OfSTORIES M�%.00C.lOAO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.300(e) <br /> INK E REOUIRED VES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATION�CC.BV PlANS CHECNEO BY APPH.FOfl ISSU�NCE BY <br /> DRIVEWAV PERMiI' <br /> S.H. L.C. TOTAL <br /> PERWTVAUDATON <br /> WHEN PROPERLY VALIGATEC(IN THIS SPACE)THIS IS VOUR PERMIT <br /> C� <br /> �� <br /> Q1 <br /> � <br /> r <br /> ADDRESS FILE <br />