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u��,�� ,/� � 'Z�-fr-� <br />CITYOF C /NSTRUCTION - <br />everett pEt�MIT PERMITNQ::����� <br />259-8745 <br />❑ DEMOLITION � COMBINATION ❑ BU�LDING ❑ MECHANICAL ❑ PLUMBING I� SIGN <br />OWNEfl MAILADDRE55 CITY ZIP PMONE <br />Action Auto Parts 9220 Evergreen LVay Everett, PIA <br />�RCHITECTOPDESIGNER MAILADDRESS QTV Z�p PHONE <br />GENERAICONTRACTON MAILFDOFESS CITY Z�p PMONE LILENSE+ <br />Tube Art Displays 808 Aloha St. Seattle, [9A 98109 284-0420 TUBEAD311Q5 <br />MECMIINICAICONTRACTOH MAILnDDRE55 pTY ZIP PHONE LICENSE• <br />PLUMBiNG CONTRFCTOR <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ flEPAiA <br />VALUATION OF WORK <br />s 400.00 <br />�ESCRIBE WOFK <br />Relocate existing pylon sign on same property <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Auto ,parts sales <br />EGAL DESCRIPiION Of PROPEPTY �SMOW BELOW OR ATTACM <br />LOT _ OLOCN _ OF <br />JBApDRE55 <br />927.0 Evergreen Way <br />PLUMBING . <br />NO. TVPE OF FI%TURE OH ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />NITCH[N SINK 8 DISP. <br />LAUN�RYTRAV <br />CLOTHES WASHER <br />UflINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />6ACKFLOW PREVENTERS <br />ROOF �RAINS - RAINLEADE <br />SINK (SERVICE - BAR, ETC.) <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />TYPE OFCONST. OCCUPANCY GROOf <br />SRE Oi BL�G. NO.OF STORiES <br />FI{lE gpqINNLERS REOUIPED ❑ YES ❑ NO <br />APPLICATIONnCC DY PLANSCIiECKEDOY <br />fY ZIP PHONE UCENSE� <br />❑ DEMOLITION ❑ BUILDING HELOCATION <br />❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TAUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETH�R SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF 4NY OTHER <br />STATE OR�L�id�.,REGULA�G CONSTRUCTIUN OR <br />TI IE PERF R ION. <br />SIGN RACTO I pG T.OR OWNER DFTE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />A/C — AMNOLG UNITS — H.P. <br />REFRIGERATION UNITS—H.P.I <br />BOILERS — 6.T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATEliS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHESDRVEflS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CMIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />VRCANT SITE <br />❑YES ❑NO <br />NO. OF DIVELLMG UNIiS <br />Mn% OCC <br />qPPR FORISSUANLE <br />Elec fIV <br />,N Callahan <br />SIGN TO BE ALL ON PRIVATE PROPERTY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECKNUM6ER FEE <br />M EA. <br />M <br />M <br />RECEIPT NO. <br />FEE <br />FEES I VALUATION I FEE <br />eui�owc 5400.00 <br />PLUMBING <br />MECHANICAL <br />i'-n:r. _,..� r,nnnuct <br />INVESTIGATION FEE J Sec.304(c) <br />3TATE BUILDING SURCHARGE ``UUI:1G�?YY <br />:�: nr • n.� <br />STATEENERGYSURCHARGE -_'_ �j}„1Q <br />DPIVEWAV PERMIT �' "� ��' ' - ' `��J <br />T07AL <br />PERMIT VALIDATION <br />WHEN PROPERLY VAIIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�DDRESS R;E <br />3 �� <br />�� <br />