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��. <br /> ` -°t <br /> d�c E�•ergreer� <br /> ��TY°F ��� �ONSTRU�TION � <br /> everett PERMIT PERMIT N0. �2276 <br /> CITY HALL 259�8745 <br /> EVERET7,WA 90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER ECI Harthell h1AILADDRE55 CITY ZIP PHONE <br /> S$�3l�XSYdj{{ 4610 Evergreen Way Everett 98203 <br /> ARCHIIECT OR UESIGNEN MAIL ADOFE55 CITY ZIP PHONE <br /> GENERaL CONTRACTOR MAII AD�flESS CITV 21P PMONE LICENSE M <br /> Simco Sign Co. P.O. Box 68 Everett 98206 252-0086 <br /> �AEGMANICAL CONTflALTOR MAIL A�OflESS pTY ZIP PHONE LICENSE M <br /> PIUMBING CONTflACTOR MAIL ADDRESS CRY ZIP PHONE �ICENSE M <br /> LLA55 OF WORK <br /> ❑NEW O ADDI710N ❑ ALTEFATION ❑REPAIR ❑ DEMOLITION ❑ FENCE EDGSIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S SSO. 00 <br /> DESCRIBE WOPK <br /> install illuminated sign <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESGFIPiIONOFPPOPERTY�SMOWBELOWOFATTACMFOUflCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTIiORITY TO VIOLATE <br /> OR CANCEL THE PROVI51 S OF ANY OTHER STATE OR <br /> LOCAL LAW I�j CONSTRUCTION OR THE <br /> PERFORMA CE QF� ONSdRUCTION. <br /> JOB ADDRE55 SIGNATUflE OF CO if fi OR t�iHOR OAT <br /> 4610 Evergreen Way X /� / �1 <br /> PLUMBING MECHANICA <br /> N0. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�701LEn AIF COND.UNI75— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATOR'/�WASH BASIN) BOILERS— H.P. EA. <br /> SH�WER GAS FIRED A.C.UNITS—70NNAGE EA. <br /> KITCHEtJ SINK 8�ISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHEFi WALLHEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.7.U. M <br /> CLOTHE3 WASHER EVAPORATIVE COOLERS <br /> � WATER HEATER GLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR bPAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF�FIAINS— RAINLEADEfiS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETG) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL : SUB TOTAL 5 <br /> PEFMIT S PEHMIT S <br /> TOTAL FEE S 70TAL FEE 5 <br /> SIDE YA(iD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> i]VES f7N0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 550. S 00 <br /> SIZE OF BL�G. NO.OF STORIES MAX.000. LOAD <br /> PLUMBING <br /> FIfiE ZONE BASEMENi FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> GYES PNO <br /> APPHOVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIPEHYDRANT TOTAL S 00 <br /> 4.FIRE PROTECTIO��SYSTEM PEHMIi VALIDATION <br /> 5.GRADING WHEN Pi70PERLY VALIDATED(IN THIS SZ 8E1�IS�5 Y„��URO S OTO � <br /> 6.DRAINAGE '� � —� i" <br /> 7.ENVIRONMENTALIMPAC75TATEMENT N <br /> 8.HEALTH DISTRICT <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR. FOR ISSUANCE OY �IO U R P EC E I P� <br /> RF MV " t!�.�'�h YOU <br /> ADDRESS fILE � I QCT gj <br /> } <br />