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. w � , —.� <br /> rhrE��cRror �ONSTRUCTION - <br /> everett PERMIT pERMIT NO. OS3� 8 <br /> CITy HALL 259�8745 <br /> eveaeTT,wn sezui ❑ COMBINATION �CBUILDINO ❑ MECHANICAL ❑ PLUMBINO <br /> owr�eH r,�eii�ourrtss ❑ir tm r��oHi , <br /> Perpetual Help Pariah 2619 Cedar Street <br /> �R('1111CCfORp[GIGNIR MAll�00REE5 GpY TIP PHONE <br /> GLNEIULCONIR�CtOR NMI��DRfSG CRv 2iP PHON[ i10EN5F1 <br /> Simco Sign Corp. 2719 Maple 90201 252-0086 i <br /> Mf OIANIUI CONLR�CIOP AIMI RpCRE55 GIy !:P PMONE LICENSE I <br /> SI MC OS C272P3 <br /> PIIIM�ING r,ONiMLiUR MAiI ADURESS Qiv ZIP PNONE IICENSF.1 <br /> ClA55Of WOR6 <br /> �NEW ❑ADDITION ❑ALTERATION ❑REPAIR 1�OEMOLITION ❑FENGE XYSIGN ❑OARAGE , <br /> VAIUAiION OF WORR <br /> s 1�.��. 00 <br /> [1ESLPiOE WORK <br /> erect illuminated sign <br /> ❑aovosEo usc or euaoiNc — <br /> I HEREBY C�R71FY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �can�nesenianoN or rnorentr isMow eciow un ntrnci��ouncories PLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. '� <br /> ALl PRO'JISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> ior__eioc�_ov _ TVFe OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEAEIN OR NOT. TH[ GFANTING OF A PERMIT DOES NOT <br /> F'RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIC'13 OF ANY OTHER STATE OR LOCAL LAW REGULATINU <br /> CONSTRUCTION THf_ PERFOPMANCE OF CONSTRUCTION. <br /> JOB�ODRCSS &GNAIURE O AGtOn L'n A,�1110PIIf D A61Nf tAtF <br /> 2619 Cedar X � 2 <br /> P�.UMBINO MECHANICAL <br /> N0. TYPE OF FI%TURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WRTER CLOSET OIIET AIf1 CCND UNIiS—H P fA <br /> BAINTUB REf 91GEf�AiION UNRS—H P EA <br /> LAVAiONY(WASH BASINI hpILERS—1/P EA <br /> SNOWCR (�AS FlRF.D P C UNITS��-TONNAGE EA <br /> NITCHEN SIHK 6 OISR FCRCFD AIR fivsT[N5 O T U M EA <br /> DISHWAS�IER WAIL H[A7ER5—B T U M <br /> L4UNDFv TRAV UNIT utATERS—B i U M <br /> C�OTMES WASHER EVAf•�qTTNECIX7LER5 <br /> NAT'cR MCATER ClO1HE5 DRYERS <br /> UPMAL VENTILATIOH FAN <br /> fiRINNING FOUNTAIN RANGE IIOOD <br /> FLOOR DRAIN AIR IANDLING UNIT— C F M <br /> VACUUM BREAKERS STJVE <br /> ROOF DRAINS—RAINLEADERS :dETAL FIREPIACE 8 CHIMNEV ' <br /> SINK(SFRVICE—BA{I,ETC� <br /> __ SUSTOTAL _ SUBTOTAI f <br /> PlRMIT f PERMIT i <br /> TOTAL FEE f TUTALFEE S <br /> SI�E\'ARD SEiBACN STRE6T SETBACK PCAR 1'ARD SETAACN PLAN CHECN NUA!HER PIAN CNECN FEE <br /> 1f1. RECEIPT k0 <br /> USE ZONE l0�AREA VACAPIT SRE <br /> ; 'YES IINO FEEB VALUIITION FEE <br /> TVPE OF�pNST. OCCUPANry pROUP NO OF DWELLING UNITS <br /> BUILDING t 1200. 9 00 <br /> u1ZE OF BLDG NO OF S�ORIES MA% OCC lOAO <br /> PLUMBINO <br /> FIRE ZONE BASEMENT FIRE SPRINKlERS <br /> PEOUIRED MECHANICAL <br /> �7YE5 i '�NO <br /> APPROVALS !Y DATE OTMER <br /> 1 ENVIRONMENTAL CHECK LISi <br /> PENALTY U.BC. <br /> 2. BNLDING PLANS SEC 3W(n) <br /> 9. FIflEMVDRAN� TOTAL 9 Q� <br /> � FIRE PROIFCTION S�STEM PERMIT VALI�IITION <br /> WHEN PROPERLV VALIDATF.D IM TMIS SPACE)TNIS IS YOUR PERAIIT <br /> 5 GRADING e p <br /> fi ORAINAGE o I o O ,� a O 9. 0 O � � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT M <br /> 8 MEALTM DISTRICT p� <br /> APPLICATIr7N ACC BY PLANS CHECRCD Bv APPR FOR ISSUANCE BY � � � R:.C�I fW <br /> RB 8AB ' �� � I�: ��C' U <br />