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�\ <br /> rhe Eeergreen C 1 N ST R U CT I O N <br /> CIiY OF <br /> everett PERMIT pERMIT NO. 09105 <br /> CITV HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNLF MAILAD�RE55 Cliv ZIF PHONE <br /> Olympic Bank 1801 Broadway Everett 98201 <br /> hRCHiTECt ON DESiGNER MAIL ADDPESS CITY 21P GMONE <br /> GENERALGONiRPC10R MAiLADDPESS CITY ZIP PNONE LICENSE� <br /> Simco Sign Corp. P.O. Box 68 Everett 98206 252-0086 <br /> IJEO+RNICnL CONTRACTOP MAIL ADDRE55 CITY Z1P VHONE L�CENSE I <br /> PLUMBiNGGONTRACTOR MARADDRE55 LIiY ZIP GHONE LICCNSC� <br /> G1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALiERA7lON ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE <br /> VFIUATtON OF WORK <br /> S 27��. 0� <br /> �ESCRI�[WOFK <br /> Erect Sign <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAIJINED THIS AP� <br /> ie,n�oesceiarior+oFvaoPeRtrtsMoweeiowoannncr+FouacoPiEs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior__eiac�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRAN1-ING OF A PERMIT DOES NOT <br /> PRESU�AE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTHUCTION OR THE PERFORMANCE OP CONSTRUCTION. <br /> J00 ADDRfSS 9Gl�AiURLdF COtJiRhQOP CR AU1110RIZkD AGENi fJ/Tf <br /> V <br /> 1801 Broadway X �i� V � —/O - d' <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi(TOI�ET� AIR COND. UNITS—N P.EA. <br /> BATHTUO REFRIGER.4TION UNITS—N.P. EA <br /> LAVATOPY(WASH BASIN) BOILERS—HP.EA. <br /> SHO�NER GAS FlPED AC.UNITS—TONNAGE EA. <br /> KITCHEW S!NK 8 DISP. FORCED AIH SYSiEMS—AT U. M EA <br /> DISHWASHER � WALLHEAT[RS—OT.U. M <br /> L�UNDRY TRAV UNIT HEATERS—B 7.IJ. M <br /> CLOTHES WASHEA EVAPORATIVE COOL[RS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FApI <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM DREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV _ <br /> SINK(SERVICE—BAR ETC.) <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT S PEHMI7 S <br /> TOTALFEE S TOTAL FEE _ <br /> SiDE YARD SETBACK SiRECT ShTBFCK REAR YARD SETBACK PLAN CHECK NUMOER PLAN CNEGK FEE <br /> FCE RECEIPTNO. <br /> USE ZONE LOi AREA VACANT SITE <br /> ❑YES GNO FEES VALUATION FEE <br /> 1vPE OF CANST. OCCUPANCV GROUP N0.OF DWELLING UNITS <br /> BUILDING $2700.00 12 00 <br /> Si7[OF BLDG. NO.OF STOFIES MAX.OCC.LOAD <br /> PLUM�ING <br /> FIRE ZONE PASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> IlYES IlNO <br /> APPNOVALS BY DATE OTHER <br /> t ENVIRONMENTALCHECKLIST PENALTV U.B.C. I <br /> SEC.303(e) � <br /> Z. f3UILDING PLANS <br /> TOTAL 12 00 I <br /> 3. FlRE HYDRANi <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION ' <br /> 1NHEN PROPERLY VFLIDAT[D(IN THIS SPACE)THIS IS YOUR PERMIT � <br /> 5. GRADING � i <br /> 6 �RAINAGE � � �' I� Q � � �. � (� __ � � <br /> 7. ENVIRONMENiALIMPACTSTATEMENT <br /> � � <br /> 0. HEALTH DISTRICT <br /> � � <br /> APPLICATION ACC.�Y Pll.NS CHECKCD BV APPR FOR ISSUANC[�Y 1 n_ "�" � : � <br /> RF LNC � <br />