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theEvagIrIsm <br />CITYOF C INSTRUCTION <br />everett PERMIT PERMIT NO, 19431 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING Q SIGN <br />OWNER MAIL ADDRESS CI7Y ZIP PHONE <br />City Radiator 21 SE Everett Mall Way Everett, WA 98204 252-7330 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Berry Neon Inc. P.O. Box 5269 Lynnwood, WA 98046 776-8835 BERRYN*247LP <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 5200.00 <br />DESCRIBE WORK <br />Install D/F pylon Sign - interior illuminated. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Radiator service <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS 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 />TH ERFORMANCE ONST CTION. <br />SIG T I E OF CON C OR A I RIZEO A NT, OR OWNER qOAffE <br />X it <br />LEGAI DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF_ <br />JOB ADDRESS <br />21 SE Everett Mall Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — AMNDLG UNITS — H.P. <br />BATHTUB <br />REFRIGERATION UNIT S — H P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.U/H.P. <br />SHOWER <br />GAS FIRED A . UNITS — B. T.0 <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — U.T.0 M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS — B TU M <br />LAUNDRYTRAY <br />UNIT HEATERS —B.T U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />;i/iY/ub Z U11I'I <br />UJUPIW; <br />SUB TOTAL <br />$ <br />SUB TOTAL / <br />PERMIT <br />f <br />PERMIT .N1387 <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />FRONTSETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE ': }'4't'; <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION: -_ <br />nn FEE <br />BUILDING <br />$ 5200.00 <br />_ <br />21.100 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED CI YES NO <br />INVESTIGATION FEE <br />Sec 3G4(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />B.E. <br />DRIVEWAY PERMIT <br />TOTAL <br />21 <br />00 <br />xowr vu mAnnu <br />WHEN PROPERLY VALIDATED (IN THIS SPACE, THIS IS YOUR PERMIT <br />r <br />CA" 3 <br />cr <br />O� <br />c— <br />ADDRESS FILE <br />