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CITY OF CINSTRUCTION <br />everett PERMIT PERMIT NO. 20220 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ® SIGN <br />OWNER MAIL ADDRESS CITY — ——ZIP PHONE <br />Zaremba Midwest 640 Pearson St. <br />MAIL ADDRESS <br />III <br />CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONF LICENSE♦ <br />S&S Sign Co. 13190 Stone Ave. Seattle, WA 98133 365-0242 SSSIGCI13100 <br />_._.. PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL AUDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ AR NEW ADDITION ❑ALTERATION ❑REPAIR El DEMOLITION ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 6800.00 <br />Install proposed intern. illum. D/F Pylon Sign. <br />HEATSOURCE <br />❑ GAS ❑ WOODSTOVE El OTHER <br />❑ ELECTRICITY <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Retail <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGP. DESCRIPTION OF PROPERTY )SHOW BELO\V OR ATTACII FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT _ BLOCK _ OF <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 />SIGNATURE OF CONTR C OR. AUTHOR) ED AGENT. 09 OWNER DATE <br />C• <br />JOB ADDRESS <br />305 SE Everett Mall Way <br />PLUMBING <br />C NICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET )TOILET) <br />gA�C—A�HNOLG UNITS -- HPBATHTUB <br />ERATION UNITS — H P. EA <br />LAVATORY (WASH BASIN) <br />— B.T.U./H P. <br />GAS FED A C UNITS — B T.U. <br />SHOWER <br />HSE <br />FORCD AIR SYSTEMS — B T.U. M EA <br />KITCHEN SINK & DISP. <br />WALL ATERS—BTU. M <br />DISHWASHER <br />UNIT HEATERS — B.T U. M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <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 A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />7 <br />SUB TOTAL <br />S <br />SUB TO <br />PERMIT <br />$ <br />PER <br />TOTALFEE <br />S <br />TOT <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FFEE. <br />CCGG <br />llllfLT� <br />RFfeiFIPT NOCwL. <br />, Sm. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />C.-1 <br />DYES LINO <br />BUILDING <br />56800, 00 <br />TYPE OF CONTT <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />PLUMBING <br />06/02/B8 3:3 <br />WM G 9 <br />SIZE OF BLOC <br />NO OF STORIES <br />MAX OCC LOAD <br />/ <br />MECHANICAL <br />09 929220 <br />INVESTIGATION FEE <br />B.W 304(e) S2 <br />D <br />FIRE SPRINKLERS REQUIRED DYES ❑ NO <br />STATE BUILDING SURCHARGE <br />CHECY u <br />.DD <br />STATE ENERGY SURCHARGE <br />_ <br />APPLICATION ACC BY <br />PLANSCHECKED BY <br />APPR FOR IBSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />24 <br />00 <br />B.E. <br />B.E. <br />PERMIT VALIDATION <br />_ _. <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />N <br />O <br />N <br />ADDRESS FILE <br />