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dieEvergreen � ��$ r �uCj�I�1, <br />CITY OF <br />ever��t PERI�IT PERMIT NU. O873G <br />CITY HAt L 239�E 745 <br />EVERET� WA sezoi ❑ COMBINATION Gr�t9UILDING ❑ MECHANICAL PLUMBING— <br />MPIL Mvuncaa <br />OWNER <br />U Hall 6443 Evergreen Way <br />- i.ipR nDDnESs <br />APCMI7ECT OR OE51 aNEP <br />iAL CONTRAC i OR R�� <br />Meyer Signs 512�f Minor <br />C�TY <br />ZIF PHONE UGEIlSE � <br />Leattle 98109 62A-424? <br />ZIP PHONE LIGEIISE I <br />�IN <br />Z�p PMO��E LICENSE t <br />CITY <br />SS OF NOPK <br />❑NEW ❑A�UITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ��GN GAF.AGE <br />.UAT�ON OF WORK <br />5 rJ��.�� <br />>CRIBE :'fORK <br />remodel existinq sign <br />DPOSED USE OF BUILDING <br />LEGAL �ESCFIPiION OF PqOPERTY �SHOl4 <br />LOT �LOCK__OF � <br />�oa noureaa <br />6443 Evergreen Wa <br />PLUMBING <br />un. � TYPE OF FIXTUR <br />� <br />� <br />SIDE YARD <br />ZONE <br />STREE7 <br />1. ENVIFONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />n. rIPE PROTECTION SYSTEAI <br />5. GRADING <br />6. DRAINAG[ <br />7. LNVIRONMENTAL IRIPACT ST�TEAIENT <br />8. HEALTH UIS7PICT <br />APPLICATION ACC. BY PLAN$ CHECKfD BY <br />RB <br />I HEREBY CERTIFY THAT I HAVE READ Arvu ent+mu�=� ����� �•� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THiS <br />�YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NO' <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRJ- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR TH ERFORMANCE OF CONSTR�U ETION. <br />,i��+nTure onTer.croRc' :.uT o�i nc,EnT 1�5/81 <br />X P-�— <br />MECHANICAL ___ <br />FEE <br />REAR YARD SETFACK <br />VACANT SITE <br />GYES ❑NO <br />NO.OF OWELLING U <br />qPPR.FORISEUANCE�� <br />BAB <br />�AS <br />BUILDING <br />PLUM�ING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />TYPE OF EOUIPMErv i <br />�, UNITS — H.P EA� <br />IATION UNITS — H.P. `_A <br />— H.R E.1. <br />D A.C. UNRS — TONIIAGE EA. <br />4IR SYSTEMS — B T.U. M EA. <br />4TER5 — B.T.U. h1 <br />.rcoc—RT11. M <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />5 500.00 � <br />U.B.C. <br />SEC. 3031a) <br />0 <br />f YALIUni�un <br />FFOPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERIdI <br />2�:ao �.005.CG °1 <br />� <br />� <br />� � . � .. \.. 1' i i', � <br />.•' ii <br />� .� t '.. _ <br />�'� <br />