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CITYOFof CASTRUCTICN <br />everett PERMIT PERMIT NO. 20358 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING 6d SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Body Success 905 SE Everett Mall Way Sutie 25 Everett WA 4R904 <br />ARCHITECT OR DESIGNEN MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Berry Neon Inc P.O. Box 5269 Lynnwood WA 98046 776-8835 B£RRYN*247iTT <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CFL-AISS OF WORK <br />Cx NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />s 2690.00 <br />DESCRIBE WORK <br />Install one S/F sign display on wall <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Commercial <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 R ULATIN CONSTRUCTIOJ OR <br />THE P ORMANCE OF C TRUC <br />SIGNATU [ C.DNiRACYF/ CH AGENT. INNER GAT <br />X �yl_A/V//I 3 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />05 SE Everett <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 />AIC — A/HNDLG UNITS — H P. <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.U.IH.P. <br />SHOWER <br />GAS FIRED ABC. UNITS — B LU <br />KITCHEN SINK S DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <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 HOCD <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 />SUBTOTAL <br />$ <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTAL FEE <br />$ <br />TOTALFEE <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />C-1 <br />LOT AREA <br />VACANT SITE <br />❑YES ❑No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />m/ i <br />illlea 3:IMI0"#141� <br />or <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 />BILD6 i <br />2•00 <br />FIRE SPRINKLERS REQUIRED CIYES ONO <br />INVESTIGATION FEE <br />7 RDA(el <br />STATE BUILDING SURCHARGE <br />:ICY, $ <br />Z.00 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />H.E. <br />APPR FOR ISSUANCE BY <br />H.E. <br />DRIVEWAY PERMIT <br />TOTAL <br />12 <br />00 <br />WIRUIT VAI IDATIDN <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />00 <br />L.f7 <br />N <br />K# <br />AM.oFSS Fll t <br />