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the F:EN')TN t ,iT, �l II <br />C INSTRUCTION <br />.823 <br />QQ <br />everett PERMIT PERMIT NQ.- " <br />259 - 8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I. l MECHANICAL ❑ PLUMBING X1 SIGN <br />OWNIR MAIL Annnl S6 CITY lIP PHONE <br />Everett Ski Shop 4312 RaakaX Rucker Ave Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PIIONF <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />Redmond, WA <br />ZIP <br />98052 881-0201 <br />IYIONL LICENSE• <br />SUPEREA147JM <br />Superior Advertising NW <br />9117 - 151st Ave NE <br />MECHANICA'. CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />)R+ <br />PHONE LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP 114ONF LICENSE <br />:1.11 U, .YU..n <br />ER NEW ❑ ADDITION ❑ ALTERATION . ❑ REPAIR O DEMOLITION BUILDING RELOCATION <br />$3200.00 _ <br />DESCRIBE WORK <br />Install one double face electric pole sign per plans filed. <br />HEAT SOURCE <br />O ELECTRICITY ❑ GAS LI WOODSTOVE Ll OTHER <br />PROPOSED USE Or 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 />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA} OI CONTRACTOI TI.ORIZQ)nC NT. OR OV: NER OFFS <br />X S/ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOUR COPIES) <br />LOT _ BLOCK � Or <br />_ <br />JOB ADDRESS <br />4312 Rucker Ave <br />PLUMBING <br />MECHANICAL 486 <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />DLG UNITS — N.P.BATHTUB <br />TION UNITS — H P EALAVATORY <br />(WASH BASIN) <br />qMTYPE <br />B T U /H P.SHOWERAC <br />UNITS—B.T.U.KITChEN <br />SINK 6 DISP <br />SYSTEMS — B T.U. M EADISHWASHEN <br />ERS—BTU M <br />LAUNDRY TRAY <br />UNIT I.EATERS — B.T U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />URINAL <br />CLOTHFSDRYERS <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 d CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EYHAUST FAN <br />SUP TOTAL <br />f <br />SUB TOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTAL FEE <br />f <br />TOTAL <br />FEE <br />1 <br />RECEIPT NO <br />FRONTSETBACrc <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />'ECG <br />VALUATION <br />FEE <br />BUILDING <br />u�n� <br />y- 12:09PI, <br />32UV.� <br />M <br />0004k 7 <br />D k1 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />4000102:9 <br />SIZE OF ELM <br />NO OF STORIES <br />MAX OCC. LOAD <br />MECHANICAL <br />L;1-0 1 15.00 <br />FIRE SPRINKLERS REQUIRED 0 YES NO <br />INVESTIGATION FEE <br />E3 ;G0<(el 1;0. <br />D0 <br />STATE BUILDING SURCHANGE <br />LMGL l Q <br />;/, 00 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PUNS CHECKED BY <br />APPR FOR ISSUANCE BY <br />Elec NV <br />LN Callahan <br />5/21/87 <br />DRIVEWAY PERMIT <br />TOTAL <br />15 <br />00 <br />PERMIT VALIDATION <br />r <br />WHEN PROPERLY VALIDATED (IN 1HIS bin'-1 In.a .�.....�.�.�,�.,.. Cn <br />M <br />N <br />V- <br />1'k <br />ADDRESS FILE <br />