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lheEvergrnen � AONS�'RUCYICIN���-��� � <br /> pTY OF � <br /> everett RERMIT pERMIT NO. 08671 <br /> GTY HPLL 259-8745 <br /> EVERE7T,WA 98201 ❑ COMBINATION �BUILtiING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEH MAILAOOPESS QTY ZIP GHONE <br /> Sob Adrian 2101 Colby Avenue 98201 252-3153 <br /> ARCHRECT OR DESIGNER MAIL ADDRE55 CITY ZIP PMONE <br /> GENERRICOMHAQOR MAILADDRES$ CITY ZIP PHONE LICENSE� <br /> Signage , inc. 1272 State Street Marysville 98270 659-2200 <br /> MECnANICALCUNIRACTOR MAILF��RE55 CITV 21P PMONE LIGENSE� <br /> PWMOINGCONiRACiOR MAILADD9E55 GTY ZIP VMONE l�C[NSEI <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERA710tJ ❑PEPAIR ❑DElAOLITION ❑FENCE 'PJ&GN ❑CARAGE <br /> VALUATION OF WOBK <br /> 3 11JO.00 <br /> oEscaieE woaK <br /> erect non—illuminated sign <br /> aaoroseo usa oF omioinc <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecni oescairnor+oFrAoaeRrrisNowee�owoennneHrovaeavies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. <br /> ALL PROVISIONS OF LAWS AND ORDINAhCES GOVERNING THIS <br /> ior eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HC-REIN OR NOT. THE GRANTING OF A PEFMIT DOES N07 <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI.THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW RECULATING <br /> CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SiGNAiURE OF CONiRAGTOR OR Al11HORIZED AGENT DAiE <br /> JOB AD�RE55 <br /> 2101 Colby Avenue X Check #1607 12/10/80 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WPTER CLOSET(1'OILET) AIP CAND.UNITS--H.R EA <br /> BATHTUB REFRIGERATION UNI1S—H R EA <br /> LAVATGRV M'ASH BASIN) BOILEi7S—HP.EA. <br /> EHOWER GAS FIPED A C.UNITS—TOIJNAGE[A. <br /> KITCHEN SINK 5 DISP. FOf�CED Alfi SYSTEMS—0 T.U. M EA. <br /> DISHtYAS.HER WAII HEATERS—O.T.U. M <br /> IAUNU��Y TRAV UNIT HEATERS—�T.LL M <br /> CIOiHES WASNER EVAPORATNL COOL6F5 <br /> WATER HEAiEP CLOTHESURYERS <br /> URINAL VENTILATION fAN <br /> DRIWKING FOl1NTAIN RANGE HOOD <br /> ROOR�RAIN AIR HANDUNG 11N1T— C F.M. <br /> VAWUM BPEAKER$ STOVE <br /> ROOF i�RAINS—RAMIEADERS METAI PIREPLACE 8 CNIMNEV <br /> SINK(SERVICE—BAR ETC) <br /> ''— <br /> SUBTOTAL SUBTOTAL f _ <br /> PENMIT S PERMIT 5 <br /> TOTAL FEE S 70TAL FEE S <br /> SIDE YARD SETBACN STPEET SETBACK REAR VARD SETOACK PLAN CHECK NUMBEH PL4N CH[CK FEE <br /> FEE AECEIPT N0. <br /> USE ZONE LOT ARGA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOINc $1150.00 9 00 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT R OUIRED KLERS M[CNANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTl/ER <br /> 1. ENVIRONMENTALCHECKL15T PENAL7V U.B.C. <br /> SEC.303(e) <br /> 2. �UILDING PLANS � <br /> rora� 9 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION S�STEM PENMIT VALIDATION <br /> WHEN PROPERLV YALIDATED(IN TMIS 5�^CE)THIS 15 VOUR PERMIT <br /> 5. GRADING � <br /> i, <br /> 6. DRAINAGE � � i 3 � ��� �� �. � � — <br />�� ' G.dIII:::�L:l:1,�1 i . � .�:.�t^..��111 � <br />