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��' �' �'1NSTRUCTlON <br /> c�rr or <br /> everett PERMIT PERMITNO. 20�76 <br /> 259 - 8745 <br /> ❑ DEMOLI710N O COMBINATION ❑ BUILD�NG ❑ MECHANICAL ❑ PLUMBING �SIGN <br /> OWNHR MMl P�DHES$ QlV ZIO PHONE <br /> ue::ific Colby Medical Bldg. 3030A Colby Ave. Everett 98201 256-4361 <br /> qqCNRECT O�I1ES�GNEA MRIL PDDRG55 ��T� Z�P A��NE <br /> GEN[R�L CONTq�CTOP UAII AD�RE55 OITY IIF A10NE UCENSC� <br /> Ace Neon Signs 3512 Smith �1+erett 98201 339-8585 ACENE5113686 <br /> MECHANIp�CONTR�CTOR M�ILADOBE55 CITY 21V PNONE LIGGNQ� <br /> RU4lI�NG CONIP�TOR I/AIL RbD�i[SS CITY 21F MiONE IIf,ENSE• <br /> CUSS Of WORY <br /> [�EW ❑ ADDITION � ALTERATION ❑ PEPA�H t7 DEMOLITION ❑ BUILDING REIOCATION <br /> VALUATIONOf WORY. <br /> S 7�0.0� <br /> pESCRIH[WOAN <br /> install two eingle face electircal siqn cabinets. <br /> ��EAI SOURGE <br /> O ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEOUSFO�OULLO�NG I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> Medical APPLICATION AND KNOW THE SAME TO 8E TRUE AND <br /> �ecaoeseniononorvno�ntrisr+owaei.owonnnner+Fouacov�esi GORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING T�HIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �aT—A��a^ — °° WHETHER SPECIFlED HEFEIN OR NOT. THE IiRANTING OF A <br /> PERMIT COES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE ON CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PE-RFORMR CE OF CON TRUCT�ON. <br /> �oe eooarss s�.�+�r� �orvT r*�A F� �'onir nr.crvl.on owrmn nnre <br /> 3030A Colby Ave. X �_� <br /> VLUMBING ME ANI <br /> NO. TYPE OF FIXTURE OA ITEM FEE NO. TVPE OF EOUIFMENT FEE <br /> WpTER CLOSET�TOILETI A'C-A'IINDLG UNITS H P <br /> ryATHTUB PEfRIGER4TION UNITS-�H P EA <br /> LAVATORY(WASH 9ASIN� f301lERS-8 T U�H P <br /> SHOWER GAS FlR[D A C UNITS-B T U <br /> KITCH[N SINN 6 DISP FURCED AIR SVST[H.5-B T U M EA <br /> DISHWASHEF W�LLHEATE/�5-�TII M <br /> LAUNDRV TRAY UNIT HEAT[RS-B T.0 �9 <br /> fLOi4ES WASHER EVAPORATIVE COOLEFS <br /> -' ��R�Nq� CLOTHF.SORYEFS <br /> DiiINKING FOUNiA1N VENTIL�TION FAN <br /> f1.00R DRA!N RANGE HDOO _ <br /> BACKFIOW PREVE�TEH$ WATER NF.ATER _ <br /> NOOF DflAINS-fiAINLEADERS WOOD STOJE <br /> SMN ISERVICf-BAR.ETC 1 M[TAL FI�EPIACE 6 CNIMNEY <br /> FlRE�LnCE1NSERT _ <br /> HEATPUMP <br /> GAS PIPING <br /> - EXHAUSTFAN <br /> SUBT07AL S SUBTOTAL <br /> PERMIT f PEPMIT <br /> TOTAL FEE S TOTAL FEE <br /> LRONTSETBRCN nennse�aACK S�DESETHRCN PLANCHECKNUMBER F[E RECEIPTNO <br /> OB/OB/B8 B:D RH f�lCkiklPKi ��� <br /> USE 20NE LOT�PE� yp�qryT S�TE <br /> ❑ves ❑r+o FEES YALUAYION FEE <br /> � B-s r000e <br /> TYPE Uf CONST OC;:UPPNCY GROUV NO Of OWEILING UNrtS BUILDING 6 OO <br /> PLUMBINC� q��gQq <br /> SiZE OF HlD(3 NO OF STOA�ES MR%OCC '.O�D <br /> MECHANICAL � <br /> INVESTIGATION FEE ����4��) <br /> FIRESPRINNLEFSREOUIRED YES NO STATEBUILDINGSURCHARGE <br /> � STATE ENEfiGV SURCHARGE <br /> APPLICRTIONRCf, BY f'lANSGHCCBEDBY Ri`Pq (ORISSl1ANCEBY <br /> DRIVEWAV PERMIT <br /> B.E. TOTAL <br /> PERMIT VALIDATION <br /> WHEN PflOPERLV VALIDATEO(IN THIS SPACE�TH�515 YOUR PERMIT CO <br /> �� <br /> Ln <br /> Q <br /> N <br /> _ ,_ � <br />