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dir !i ta�rereert <br />everett <br />CITY MA�L Y59�H7a5 <br />� �'ONSTRIJCTIOIV <br />P��MIT PERMIT N0. 13363 <br />EVEHETT, WA9B201 � COMBINATION rX�{ BUILDING CI MECHANICAL ❑ PLUMBING <br />awr+er+ Mna nooness arr ziv vroNe <br />Corner Grocery 6732 oeverly Blvd. Hverett <br />RRCMttECi OR OESIGNER UAIL ADDRESS CiTY ZIP VHONE <br />GENERRL CONTR�LTOR MAR AOORE55 GTY 21P PNONE LICENSE � <br />Simco Sign Co. P.O. Hox 68 Everett 98206 252-0086 C272P3 <br />MECNANICRL WNiPACiOR MAIL ADONE55 CITY ZIP PNONE IILENSE � <br />PLl1MBING LONTRRGTOR MAII RUORESS CiiY 21d PMONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE SXSIGN ❑ WOOO STOVF�FIREPLACE INSERT <br />VALUATION OF WORN <br />3 600.�� <br />REWORK existing sign and :?.lumination <br />PROPoSED USE OF BUILOING <br />LOT __BLOCK_OF _ <br />J0� RDOPESS <br />6732 Beverly Blvd. <br />PLUMBIN6 <br />TYPE OF FIXTUHE OR ITEM <br />WATER CLOSE7 �701 LETI <br />BATHTUB <br />LAVATORY (WASH BA:iIN� <br />SMOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASMER <br />LAUNDRVTRAY <br />CLOTHESWASMEF <br />WA7ER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETGI <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />NO. OF STORIES <br />FIRE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />7. FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />r <br />MEALTH DISTRICT <br />'PLICATION ACC. BV PLANS C <br />RF <br />� <br />f <br />f <br />REAR YARD SETBAC <br />VACANT SITE <br />YES NO <br />NO. OF DWELLIrv� u <br />MA%.00G LOAD <br />FIRE SPRINKLERS <br />REOUIflEO <br />VES NO <br />B� pp7E <br />LC <br />ISSUANCE BY <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICAI�ION AND KNOW THE SAME TO BE TRUE AND <br />CORREGT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERVING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETF'ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMI"f DOES NOT PRESUM E TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY UTHER STATE OR <br />LOCAL L W REGULATING CONSTRUCTION OR THE <br />FEiiFbRi�GE QF CONSTRUF .ION. <br />SIGNq1URE OF��j�TRAQkOF 0 I (iENT Or1TE <br />N0. I TYPE OF EQUIPMENT <br />AIR COND. UNITS — M.P. EA. <br />REPRIGERATION UNITS — H.P.EA. <br />BOILERS — M.P. EA. <br />GAS 'RED A.C. UNIiS — TONNAGE EA. <br />FORCf:D AIH SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT hFATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL =1RE?LACE 8 CHIMNEY <br />FIREPLRCE I� SERT <br />HEAT PUMP <br />CHECIC <br />SUBTOTAL S <br />PEflM17 f <br />TOTAL FEE f <br />FEE I RECEIPT NO. <br />VALUATION I FEE <br />BUILDING s 600� <br />��WMBING <br />MECMANICAL <br />OfHEF <br />PEI�ALTY U.B.C. <br />SEC. 303 <br />TOTAL I I 5 I �p <br />PEPMIT VALIOATION <br />WHEN PROPEFiLY VALIDATEQ�IN THISIS�Ai II iM15 �x�O,k�F�PC�11+ryT�� .� <br />U U J ll U <br />� �' � <br />i� <br />". '.; iPl, . <br />♦ I . U <br />ADDRESS FII.E <br />� , <br />�'� �/ :�I U'i <br />