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CONL I<'RUCTION <br />CIT( OF EVERETT <br />PERMIT SERVICES <br />PERMIT <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425)257-8810 <br />PERMIT NUMBER: SO404-004 <br />11AT1:: <br />MECHANICAL EQUIPMENT <br />JOB ADDRESS: 4128 RUCKER AVE <br />^ 00596201101100 <br />m <br />SAFEWAY INC <br />11HAN" 13ECU <br />1 i21 124T11 AVE NE <br />BELLEVUE WA 98005 <br />M111NI. 4256372252 <br />Metre. <br />ttINIR <br />TUBE ART DISPLAYS <br />IN iC RIr11UN IN NIIRA'. <br />SIGNAGE ON EXISTING POLE <br />�.' 30 OCCIDENTAL AVE S <br />SEATTLE WA 98134 <br />MWNI:: 2062231122 <br />BECU <br />11 NMR; <br />1Y. /,ml_ IIIIINII Mn.UNIR YlAxxlxli Mn. RVII MIN11R1) <br />REV 1103.014 0 <br />,.It 10111, IIRSI.IIIAC\ SIM SETBACK IM 11 TRAIN GARAIXISI1 <br />0 <br />IRY'�iRIN N• UCC I IIAII. NO SIMH-1 IIASI MI NI. RI'AMML 41611 f <br />Il 4 1.00 <br />I1M nI Col, I R. USCIWIRAIMNIi: urAI TYMI; MANSAMR BY: <br />II-N SM <br />,MINEIIRRlo, RIAWN'. IYRMIIVAIIIAIIVN. <br />$ 6,000.IX1 PLUMBING EQUIPMENT <br />11R1 ALARMRIVII R(AVIN 114111CMIIRRRMAMII_ <br />NA <br />FEES: <br />Basic Constmetion Permit Fee S125.25 <br />Plan Check Fee $81.41 <br />State Building Code Surcharge $4.50 .a . <br />TOTALFEE <br />S211.16 <br />TOTAL FEES PAID <br />$211.16 <br />TOTAL FEES DUE. <br />S0.00 <br />REMARKS: <br />Permits expire if work not commenced within 180 do's necroses more than 180 days. <br />The City of EYrrett is not responsible to rrsiew the applicability of plat entertains to this permit. Compliance with plat <br />cosenanls is the sole responsibility of the applicant\nwner. <br />q of lmm t—I4M In CN h <br />110, <br />PERMIT NO: <br />SO404-004 <br />ADDRESS FILE COPY <br />