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CITY OF C INSTRUCTION <br />everett PERMIT PERMITNQ: 20209 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL '❑ PLUMBING Ld SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />ITT Financial Services 505 Everett Mall Way Everett, ;,M 2n22 98204 <br />ARCHITECT OR DESI 3NER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />Meyer Sign Co., Inc. 512L Minor Ave No. SEattle, WA 98109 624-4243 MEYERI219136 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY SIP PHONE LICENSE• <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />$I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 1900.00 <br />OESCR-BE WORK Ch ap 11ume <br />Install 1 neon illuminated A" MR wall sign <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Commercial <br />-- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED "-HIS <br />APPLICAI ION AND KNOW THE SAME TO BE TRUE AND <br />CORIIECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHET HER SPECIFIED HEREIN OR NO7. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOL,\TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />T. OR LOCAL LAW REGULATING CONSTRUCTION OR <br />T FIE FORMANCE OF CONSTRUCTION. <br />SI ATU OF ,ONTRACTOR 1UTHORIZEDAGENr, ROWNER DATE <br />X 7 1 r rN' Z1 <br />�•�r <br />LEGAL OESCRIPT ION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES, <br />LOT _ FLOCK _ OF <br />JOB ADDRC55 <br />5 SE Everett Mall Way #20 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />1 °E <br />WATER CLOSET (TOILET) <br />A,C — AMNDLG UNITS — H R <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — B T.0 /H P. <br />SHOWER <br />GAS FINED AC UNITS —B.TU <br />KITCHEN SINK S UISP. <br />FORCED AIR SYSTEMS - B T U. M EA. <br />DISHWASHER <br />WALL HEATERS —8. T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTII.ATION 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 8 CHIMNEY <br />FIREPLACE IN'.ERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />S <br />PER G• <br />TOTALFEE <br />S <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SNE SETBACK <br />PLAN CHECK NUMBER <br />FEEBUUUaknff <br />BLm <br />QrikRSM <br />RECEIPT NO. <br />f9.W <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />V TION <br />30,00 FEE <br />BUILDING <br />$C <br />39.00 9 <br />00 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NU. OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />M. M. <br />PLANS CHECKED BY <br />Be <br />APPR FOR ISSUANCE BY <br />Be <br />DRIVEWAY PERMIT <br />TOTAL <br />9 <br />00 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />