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the&wvvm <br />CITY OF r ONSTRUCTION <br />everett PERMIT PERMIT NO. 17752 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ® SIGN <br />OWNEp MAIL ADDRESS CITY Zip PHONE <br />Clear -View Auto Glass 4321 kcker Everett, WA 22222 98203 258-9399' <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />Ace Neon Signs Inc. 3512 Smith St. Everett 98201 339-8585 ACENES1136B6 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />CLASS OF WORK <br />FLI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 1350.00 <br />DESORIPS WORK <br />Install Customer Sign <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <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 REGULATING CONSTRUCTION OR <br />TH RFORMANCE OF ONSTRUCTION. <br />SIG ATU E OF CONTRACTO IZED AGENT- f WNER [ <br />X / - - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES, <br />LOT _ BLOCK _ of <br />JOB ADDRESS <br />4312 Rucker Ave <br />PLUMBING <br />M ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P <br />BATHTUB <br />REFRIGERATION UNITS — H.P EA <br />LAVATORY (WASH BASINI <br />BOILERS — B.T U /H P. <br />SHOWER <br />GAS FIRED A C. UNITS — B T U <br />KITCHEN SINK B 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 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 INSERT <br />MEAT PUMP <br />GAS PIPING <br />EXHAUST AN <br />BUD TOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />f <br />PE <br />TOTALFEE <br />f <br />TOTAL FEE i <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEG..,.1775` <br />BLDG g <br />RECEIPT NO. <br />.00 <br />USEZONF <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />FEE <br />BUILDING <br />00 <br />PIO 9 <br />OJ <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 />— <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />III M.M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />Elec NV <br />LN Callahan <br />1/29/87 <br />DRIVEWAY PERMIT <br />TOTAL <br />9 <br />OC <br />PERMIT VALIDATION <br />IF SIGN IS ILLUMINATED, MUST HAVE APPROPRIATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />(,V <br />TESTING AGENCY LABELS I17 <br />ADDRESS FILE <br />