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ihe ErcrRreen �O N ST R U CTI O N <br />GTv pP <br />everett PERMIT pERM,r �o. o9ozz <br />CITY HALI 259-87c5 <br />Even�T�.wr, 9e2e� ❑ COMBINATION L�BUILDING ❑ MECHANICAL PLUMBING <br />owu[a ran�� nooa[ss cirr zn• cHONe <br />25th Strect Market 2431 Broadway Everett <br />qRCHRECi OR Uf 4GN[ � MFIL ADDRE55 L�TV 21P PNONC <br />GENERnI CANtRIGiOA Mh4l.ODFE55 GRV ZIP PMONE UGENS� 1 <br />Simco Sign Corp. 2719 Maple Everett 98206 252-0086 <br />MECMANILAL CONTRM.T09 IA<IL ADDRE55 CITY ZIF P110Nf L�CENSE � <br />SI MC OS C272P3 <br />PLUMBING COMRACLOR MAIL ADDRE55 GTY ZIP PHONE I�CE�S[ � <br />❑NEW ❑ADDITION ❑AL7ER4TION ❑REPAIR ❑DEMOLITION ❑FENCE I�9LGN ❑GAFAGE <br />s ISg��t. 1200.00 <br />Erect illuminated si <br />retail sales <br />�� ,ni ocscamrion oF vaorEntr <br />ibt B:OCK_Of <br />2431 Broadway <br />PLUMBING <br />NO. TYPEOFI <br />WAT[� ClO5E7 (TOILET� <br />DISHWASHER <br />U+UNDFYTRAV <br />CIOTHES WASNER <br />WATER HEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKER5 <br />ROOF DRAINS — R.4iN�EA0ER5 <br />SINK (SEFVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE YAFD SETBACK STRCET SET[�AGK <br />USE ZONE LOT AREA <br />T�PE OF CAN57. OCCUPANCY GROUP <br />5125 OF BLDG. NO. OF S10RIES <br />L ENVI90NMENTAL CH[CK LIST <br />2. BUILDING PlANS <br />3. FIRE NYDRANT <br />4. fIRE PfiOTECTION SVSTEM <br />5. GRADIniG <br />c or�niun;� <br />)_ENVIROA'MENTAI IMPACi STATEMENT <br />B. HEALTH UISiRICT <br />APPLICATiOk ACC. BY PLANS CHLCKED BY <br />RAF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHFTHEA SPECIFIED <br />HEREIN OR NOT. THE GRANTIIJG OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW fiEGULATING <br />CONSTRUCTIO�N�OR THE PERFORMANCE OF CANSTR������fff(((CTION. <br />Xiryt�Uf ' )R Uii AJ?NJ�i17LD AG[NT �/ � /�9� <br />� I'/ / <br />/ <br />MECMANICAL <br />NO. 7iPE OF EOUIPMENT FEE <br />NIR ('OIJD UIJIT` — H 7 EA <br />Rf"FRI(;FRATION UNITS — H P. EA . ___ <br />POILERS — H P EA. <br />GAS FIRED A C UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T U. M EA <br />WALL H[ATERS — 8 T U. M <br />UNITHEATEFS—BTU M <br />EVAPORATNE CAOLERS <br />CLOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C F.M. <br />STOVE <br />METAL FIREPLACE & CHIMNEV <br />SUBTOTAL <br />REAR YARO SETBACi( PLAN CHECK <br />VACANT SITE <br />LiVES ONO <br />NO. OF �WELLING UNI1S <br />BY <br />BUILDING <br />PLUMBING <br />MCCHANICAL <br />OTHER <br />PENALTY <br />PLAIJ GHEGK Ftt <br />fEE HECEIPlNO. <br />VAlUAT10N FEE <br />E 1200. 9 0� <br />U.B.G. <br />SEC. 3031a) <br />WI1ENPf10PERLY�VALIDATEDpNTHI55PA�E1Ty11�ISY0URflEWMT fl fl �_ I <br />� I 1 I' U/ l, 'J N <br />N <br />. " �� <br />. , ., �Q <br />APpR.FORISSUANCE 8V � ` ' ' <br />BAB <br />. ., �...,, c � <br />ar,�F��_s� �-n_r_ <br />