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the FLANIrm em <br />CITY OF <br />everett <br />259-8745 <br />Q" INSTRUCTION <br />PERMIT <br />PERMIT NQ:: 18 4 7 7 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING i-1c SIGN <br />OWNER W MAIL ADDRESS CITY ZIP PHONE <br />W�� Unocal 2901 fik Ave. Seattle, 98121 443-7520 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />S&S Sign Co. <br />13190 Stone Ave. N. <br />Seattle, 98133 365-0242 <br />SSSIGLI13IOD <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORK <br />IQ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 3000.00 <br />DESCRIBE WORK <br />Install 2 S/f intern. illum. signs on canopy/iz install 1 D/F intern illum pole sign. <br />HEAT SOURCE <br />Cl ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PRO^OSED USE OF BUILDING <br />Service Station <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 />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURE/FONM TOR %TI�p°��° AGENT. OR OWNER DATE <br />X '/�WIt+L.-(" c�6L<�c.- - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />SY8XnfLXXSH 304 SE Everett Mall Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A C — AIHNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — B. T. U./H. P. <br />SHOWER <br />GAS FIRED AL. UNITS — B T.U. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS —8TU M <br />LAUNDRYTRAY <br />UNIT HEATERS —8.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 ISERVICE — BAR, ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTAL FEE <br />S <br />TOTAL FEE <br />FRONT SETBACK <br />REARSETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FIE ES <br />VALUATION <br />FEE <br />BUILDING <br />$ 3000. OO <br />12 <br />OD <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 />q t �' <br />w-m io,, A6107 <br />FIRE SPRINKLERS REQUIRED CIYES E3NO <br />INVESTIGATION FEE <br />SeC. 304(e) <br />STATE BUILDING SURCHARGE <br />H <br />STATE ENERGY SURCHARGE <br />1 000006977 <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />Ele��c ©N.V. <br />L� Caliahan <br />DRIVEWAY PERMIT <br />CHECK - <br />t <br />^ 03 <br />TOTAL <br />12 <br />00 <br />MOUNT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Sign to be all on private property. E` <br />c!' <br />a--- <br />4 <br />_,_. ADDRESS PILE <br />