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�n�-e,�,�:,���•,� �'��`1�' � Y Il Y <br /> CITi OF <br /> everett PERMIT pERMIT NO. O9T5`� <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBIWATION � BUILDING ❑ MECHANICAL PLUMBING <br /> OY/NER <br /> MAILADORE55 GITY ZIP PMONE <br /> KWIK Kopy 4610 Evergreen Way Everett <br /> AflCHRECTOR0E51GNER MAILApOFE55 GTY ZIP PHONE <br /> GENERALCANTRACTOR <br /> IAAIL NDORE55 GITY ZIP PHONE LICENSE� <br /> Berry Neon Co. Inc. 21027 61st 41est Lynnwood 98036 776-883 <br /> MAILADDRE55 Cltt ZIP PNONE UCENSEI <br /> MECHANICALGONTFiACTOR gB RR YN 247LD <br /> PLUMBING CANTRACTOF <br /> MFIL AODRE55 CITY ZIP PMONE LICENSE I <br /> GLA55 OF\'lORK <br /> ❑NEW ❑ADDITION ❑F�TERATION OREPAIR ❑DEh10LI710N ❑FENCE �yIGN GARAGE <br /> VALUATION OF WORK <br /> E 125�. 0� <br /> DESGHIBE WORK <br /> erect illuminated sign <br /> PPOPOSEO USE OF DUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS HP- <br /> LEGAl.DESCPIPTIONOFPROPERTY�SHOW BELOWORATTACHFOURCAPIES� PLICATION AND I:NOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT B�a�_aF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUflE CANTHA�ORAUTNORIZ AGENT �ATE <br /> J 8 A�DRE55 q (� g' <br /> �610 Evergreen Way X , �.✓- <br /> PLUM8ING MECHAN L <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> FEE <br /> WATEF CLOSET(TOILEn AIFl COND.UNI7S—H.P.EA. <br /> FIEFRIGERATION UN1T;—H.P.EA <br /> BATHTUB <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOWER <br /> KI7CHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> WALL NEATERS—B.T.U. M <br /> DISHWASHER M <br /> UNIT H[ATERS—B.T.U. <br /> LAUNDRY TRAY <br /> EVAPORATIVE COOLERS <br /> CLOiHES WFSHER CLOTHES DRYERS <br /> WATER HEATER <br /> URINAL VENTIU+TION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS MEfAL FIREPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR,ETC.) <br /> SUBTOTAL 3 <br /> SUBTOTAL S <br /> PEHMIT S PEHMIT <br /> TOTALFEE s <br /> TOTAL FEE S pLAN CHECK FEE <br /> SIDE YAPD SEfBACK STREET SE78ACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT N0. <br /> - USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> NPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING $ 1250. 00 9 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIflEZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED — <br /> OYES ❑NO <br /> — BY pATE OTHER <br /> APPROVALS <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303(e) <br /> 2. BUILDINGPLANS TOTAL 9 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VAIIDATED(IN THIS SPACE)iH15 IS YOUF PERMIT <br /> i^ n � � „� [� <br /> 5. GRADING � � r � � '�j � /, � T- <br /> � <br /> 6. DRAINAGE <br /> r— <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> 8. HEALTH DISTRICf .. •, . ��� Ii- I O <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY . • ; • � � y� <br /> i .. . . <br /> RF BAD <br /> �, i _:� �ii I <br /> ADDRESS FILE <br />