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CITY OF CNNSTRUCTION <br />everett <br />25ere PERMIT PERMIT NO. 20056 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ® SIGN <br />WNER MAIL ADDRESS CITY ZIP PHONE <br />O REALTY 9505 19th Ave SE Suite 101 Everett, WA <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />CENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Berry Neon, inc. P.O. Box 5269 Lynnwood, WA 98C146 776-8835 BERRYN247LD <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE- <br />CLASS OF WORK <br />❑ NEW 29 ADDITION E) ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />$ 2495. <br />DESCRIBE WORK <br />Add 6' x 8' D/F illuminated sign to existing pylon <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE [I OTHER <br />PROPOSED USE OF BUILDING <br />Commercial <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 E$ULATING CONSTRUCTION OR <br />THE PF.RFORMANgE OF C OSTRUCTION. <br />SIGNATt eF (FCQNTRMJTIAR, AUTH ZED AGENT, OR OWNER DATE <br />w' <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />9505 19th Ave SE <br />PLUMBING <br />M CHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET, <br />A/C — A/HNOLG UNITS — H P <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS — B.T U !H.P. <br />SHOWER <br />GAS FIRED AC. UNITS — B.T U <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T U M EA <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY _ <br />UNIT HEATERS — B.T.U. h1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPI ACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />_ <br />GAS PIPING <br />EXHAuSTFAN <br />_ <br />SUBTOTAL <br />5 <br />SUBTOTAL <br />PERM& <br />$ <br />PERMIT <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />FRONT SETBACK REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />DSEZONE LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ 2495 <br />12 <br />00 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />IN <br />NO OF DWELLG UNITS <br />PLUMBING <br />SIZE OF BLDG <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑YES ❑NC <br />INVESTIGATION FEE <br />J CC. 4(C) <br />o <br />STATE BUILDING SURCHARGE <br />#00020056 <br />— <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />M. M. <br />PLANS CHECKED OY <br />APPR FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />ELEC $3 <br />.00 <br />TOTALT <br />12 <br />00 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />C.0 <br />1-0 <br />/ <br />