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`,��`'��,Y�oF rflNSTRUCTlON <br />everett PERMIT pERMIT N0. 11io5 <br />��,Y ��,�« ��Sy d,<5 <br />E:v�r�eTr. a✓n e�ao� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNFR IAAILADf�FEbS ❑iY ZII' ��• ._ <br />Westernco Donut House 2515 Broadwav FverPrt 98201 <br />n��C�u1LQO�i:ILio9LH MAILADDRE55 G�1� Z6• VNONE <br />GCNERnL CONTRPQOF MNl AUURE55 CrtV ZIP PIIOH[ IICENCE Y <br />Berry Neon Co. inc. P.o. Box 5269 Lynnwood 98036 776-8835 <br />U[CHAN�CNI LONLqnG�Ofi MML ADDRE55 CITY 21P PHONE UCE1bL • <br />BE RR YN 247LD <br />��UM�INGCANTRACTUR M4ILAODRE55 CITY ZiP PHONE UGENSE� <br />GtA55OF WOR�( <br />rJNEW <br />l'ALUATION OF WORK <br />! 42��.00 <br />DCSCRIBE WORK <br />Erect il <br />veoroseo use oF emiort+c <br />❑ADDITION ❑ALTEFATION ❑REPAIR ❑DEMOLITION ❑FENCE }�SIGN ❑GARAGE <br />nate <br />L[GAL DESCNFLON Of PnOPEPtY t9�OPi EJELU�40N NiTICM <br />�OI__ BIOGK__OF _ <br />,.: ,:: .. <br />2515 Broadway <br />PLUMBING <br />FIXTURE OR ITEM <br />l4ATER <br />CLOTNES WASNER <br />WATER HEATER <br />URINAL <br />DRIIJNRJG F OUNTAIN <br />fLOOR �PAIN <br />VACUUtd l�REAKERS <br />ROOF ORARJS — RAINLFADERS <br />SINK �SEPVICE — BAfl. ETC.1 <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />SI�E VAPD ScTBACK � SiRFET SETBACK <br />ZONE 1 LOT <br />OCCUPANCY <br />OF :LORIES <br />FIR[ <br />1 ENVIRONMENTAI CHECK LIST <br />J. OUILDING PLANS <br />3. FlFE HVDRANT <br />�. FIRE PROIECTION $YSTeM <br />5 GRAUING <br />6 �PAINAGE <br />7 ENVIRONMENTAL IMPACi STATEMEN7 <br />o r+En�Tri oisTaicr <br />nPPL'CATIGN ACG 9�' PLANS CHECKED BY <br />RF <br />FEE <br />REAR YAND <br />VACANT SITE <br />i.IYES I..NO <br />APPH. FOR ISSUANCE �V <br />NV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT. <br />ALL PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SFECIFIED <br />HER[IN OR NOT. THE GRANTING OF A F[RMIT DOES P10T <br />PRESUME TO GIVE AUTHORIT'; TO VIOLATE OR CANCEL THE PPO� <br />VISIGNS OF ANY OTHER STATE OR LOCAL LAW REGUU{TiNG <br />CONSTRUCTION OR THF PEHFORMANCt OF CONSTRUCTIOtd <br />X...:.,�����. i1,� ,,�s�,���._ ��,ig%z <br />� <br />n�ii COND. UNITi — H P EA <br />RFFRIGFRATION 11NIT5 — H <br />801LE�5 — H P. EA. <br />6A5 FIRED A C. UIJI15 — iONNAGE EA <br />WRCFD AIR SYSTEA45 — Ii T.U. M <br />VlALL HEATERS -- 8].0 M <br />IINIT HFATFfiS —� �i U. M <br />[VAPORATIVC <br />BUILCING <br />NWh1BING <br />MECHANICAL <br />OTHER <br />PENALTV <br />CFM. <br />SUBTOTAL __ __ <br />PENMIT <br />TO7AL FEE <br />d�[R PLAN CHECK <br />fCL <br />FEES �ALUATION <br />5 4200. <br />U.8 C <br />SEG 3�91a1 <br />FEE <br />_____.. _ _ _- _ <br />[E <br />NLCF.IPT Hi!. <br />FEE <br />LB �� <br />TOTAL I I j$ 0 Q <br />PERMIT VAUDATION , <br />'NHEN FROPEFLY VAI_IDAiED �M TNIS SPA 8,� 3 55 Yo�Q PjR�UIj. � O �, <br />� �; 8 <br />0 <br />� <br />�'QiUR RECEIP�� <br />T�i�i�lK YOU <br />�,�rRt'��• I" I • <br />; � C'!:T u L <br />