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�hr Llrrxrecn <br />��,�oF <br />everett <br />CITV HALL 259�8745 <br />EVERETT, WA 98201 <br />� CONS�RUCTIO-y <br />PERMIT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT NO. 1��49 <br />� PLUMBING <br />OWNER Motor MAIL AODRE55 CITY 21P PMONE <br />Zmperial 400 �Qq�� Inn 952 Broadway Everett 98201 259-5177 <br />RRCHIT[CT OR DESIGNEH MAIL AD�RE55 dTY 21P G1i0NE <br />G[NERAL GONiRACiOP MAIL ADDRE55 GITY ZIP FHONE IICENSE � <br />Dw;nell Central Neon 215 North 2nd Avenue Yakima 98902 509-248-3772 <br />MECHANIGRL CONiRAGTOR MAIL ADDFESS CIiY ZIP PNONE LIGENSE � <br />PLUMBING GONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE I <br />CLA55 OF WORK <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ NEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUFTION OF WORK <br />s 8r���.�� <br />erect illuminated sign <br />LOT_BLOCN_OF <br />95 <br />PLUMBING <br />NO. TYPE OF FIXTURE OH ITEM <br />W ATER CLOSET (TOILE i � <br />BATNTUB <br />LAVATORY(WASHBASIN) <br />SMOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHEfl <br />LAUNDFVTRAV <br />CLOTHES WASNER <br />WATER HEATER <br />URINAL <br />DRINIi1NG FOUNTAIN <br />FLOOq DRAIN <br />VACUUM 6HEAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, EiC.) <br />SUB TOTAI <br />PEHMIT <br />79TALFEE <br />APPROVALS <br />1. ENVIRONMENTAL CHECN LIST <br />2. BUILDING PLANL <br />3. FIR@ HYDRANT <br />4. FIRc PROTECTION SYSTEM <br />5. GRADING <br />7. ENVIRONMENTAL <br />B. HEALTH DISTRICT <br />� <br />f <br />f <br />REAR VARD SETBACK <br />VACANT SITE <br />��..:YES ;�NO <br />NO. OF DWELLING UN <br />MAX.00G LOAO <br />FIRE :'PFINKIERS <br />flE0UL7E0 <br />VES NO <br />PLANS CHECKED BY IAPPR.FOR <br />RE' <br />NV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL DE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMiT DOES NOT PRESUME T� GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMANCEOFCONSTRUCTION. <br />SIGIIRiURE OF GONTRACTOR OR AUIHOAIZED AGENT �RiE <br />X Check #2437 2/23/84 <br />MECHANICAL <br />TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFPIGERhTION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEHS — 8?.U. M <br />UNIT HEATLRS — B 1.U. M <br />EVAPORATNE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — GF.M. <br />STOVE — WOOD <br />METAL FIREPLACE 6 CHIMNEV <br />i-IREPLACEIPISERT <br />NEAT PUMP <br />SU6 TOTAL f <br />PERMIT f <br />TOTAL FEE f <br />PLAN GMECK FEE <br />FEE I RECEIPT N0. <br />FEES I VALUATION � FEE <br />BUILDING S 8,000.00 27 00 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 lal <br />YOTAL 27 00 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN TMI¢ �Pq(.�) TM15yiSM�U� P�Fi�IL ('fy <br />Maximum Height of sign not to exceed 'd' <br />35 feet �%XX1Sg�itAtXgftSiB�X ab�ve grade. � <br />, �, �;�-IF'T� <br />,' , ,. _ � <br />'��'�}: Y�; U <br />ADDP,ESS 'rILE <br />7 3 FEB 8 4 <br />