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� <br />CITY OF EVERETT <br />sti. '"� �ONSTRUCTION � '�` ; <br />PERMIT P.F,RMITCJO. `ZHOS9 � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING C}� SIGN � <br />OWNER MAILADDRESS CIN ZT PHONE ' <br />Lee Jensen 406 S� �verett Mall [dy Everett 98208 � <br />TENANT MAILADDPESS CITV ZIP PMONE <br />rfark 2 Collision Center 406 SE Gverett Mall Sdy �verett 98208 <br />ARCHITECTORDESIGYER MAILADDRE55 CIN ZIP PHONE <br />� <br />� . GENERALCONTRACTOF MAILAODRESS CITV ZIP PNONE LICENSEN � <br />Berry Neon Inc POB 5269 Lynnwood 98046 776-8835 BERRYN*247LD 3SHAi�kB%SE4� � <br />.. . MECHANICALWNTRACTOF MAILFOORESS CITV ZIP PNONE LICENSEM <br />PLUM�ING CONTRACTOR <br />CLASS OF WORH <br />}f] NEW ❑ ADDITION <br />MAILADDRE55 <br />O ALTERATION ❑ REPAIR <br />CITV ZIP PHONE <br />❑ UEtAOLITION ❑ BUILDING RELOCATION <br />AND PHONE N0. IF OTHER TMAN PBOVE <br />CONTRACT PRICE OF WORK: $ 3490 � Van 776-8835 i <br />UESCRIBE WORK AND SOUARE FOOTAGE INVOW ED <br />1 illuminated wall sign & 1 non-illu�;. 1.anainQ sien <br />PROPOSED USE OF BUILOING � � <br />Sign � <br />LEGAL�ESCRIPTIONOFPROPERTY�SHOW9ELOWORATTACHFOURCOPIES) li/19/91 i.�'.=�i{�� OQOr��I� ��?Q ��=K��X I <br />LOT_ BLOCK _ OF � <br />a000as�za <br />JOBAD�RE55 <br />PLUMBING <br />TYPE UF FIXTURE OR iTEM <br />BATHTUB <br />LAVA70RV <br />DISHWASHEH <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOOF DRAINS - RAINLEADERS <br />SUBTOTAL <br />PERMIT <br />REAR SETBFCK <br />USE ZONE <br />7VPEOFCANSTPUCTIONALLOWABLE TYPEOFCONSTPU <br />SR.EOF6LDG, NO.OFSi091E5 <br />� OCCUPANCYLOA� FIRE'?FINK�EF: <br />I ❑ YES ❑ AO <br />flEA50N FOR SPRINKLERS <br />, FPPLICFTIDNACC.BY <br />5 <br />5 <br />VACANT SITE <br />BASEMENT <br />"o'._°B� CiTY OF EVERETT <br />LOCAL SALES <br />SM TAX CODE IS <br />3105 <br />NOOD�8131 <br />c:i nr, a^+ _nn <br />E SRCH �4.50 <br />!AECHANICAL ELDG *9.OQ <br />10. TYPE OF EQUI p° <br />P�C - AMNJLG UNITS - H.P. <br />FORCEDAIRSYSTEMS-B.T. . MEA. �' • <br />UNIT HEATERS - B.T.U. <br />CLOTHES DRYERS � -°-�' <br />RANGEHOOD <br />WATER HEA7ER <br />WOOD STOVE <br />HEATPUMP <br />GAS PIPING <br />E%HAl15T FAN <br />8 CH�MNE'f <br />SUBTOTAL S <br />PERMIT 5 <br />FEE <br />FEES dmwinuwue FEE <br />VALUATION <br />eui�ouac SIGN S 3490 15 00 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE FU�LDING SURCf°ARGE 4 SO <br />STATE EM':RGY SURCHARGE <br />PUBLIC W 7RK5 <br />TOTAL 19 50 <br />WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />I PERMITS EXPIFE IF WORK IS N�T C4MMENCFD WIYHIN <br />I_. . 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. �DQRESS FIL E <br />I <br />� <br />28089� � <br />