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the Evergreen � �O N ST R U C�I O N � �� � <br /> CITY OF <br /> everett PERMIT' PERMIT NO. 098�8 <br /> CITY HALL 259�8745 <br /> LVERETf,N'A 98201 ❑ COMBINATION � BUILDING ❑ MECHi1NICAL ❑ PLUMBING <br /> OWNEN MRILAODP.E55 � GITY ZIP PHONE <br /> Family Optical Center 4831 Evergreen Way <br /> ARCHITEGiOHDE51GNEfi MAILAOORE55 Gitt 21P FMONE <br /> GENERALCONiflRCLOfl 1AAILAppRESS GITY 21P PHONE LICENSEI <br /> Simco Sign Corp. 2715 Maple Everett 98201 252-0086 <br /> MECNANICALCONTMCTOP MAILPDDPE55 GIiY ZIP PHONE IICEN5E1 <br /> SI MC OS C272P3 <br /> PLUMORIGLONTfiACTOR MAILADOPESS Cltt 21P PNONE LICENSE/ <br /> CVSS OF WOi'N <br /> ❑NEW ❑ADDITIOii ❑ALTERATION ❑REPAIR ❑DEMOLITiON ❑FENCE �$IGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 2600.00 <br /> DESCPIBE WORK <br /> erect illuminated sign <br /> PROPOSED USE OF DUILDING <br /> I HERE3Y CERTIFY THAT I HAVE READ AND EXAMiNED THIS AP� <br /> LEGALOESGRIPf10NOFPPOPEfliY15HOW0ELOWOFAiTACHPOUFCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS <br /> �or o�oc�_oF TYPE GF WORK WILL BE COMPLIED WITH WHETHEF SPEGFIED <br /> IIEREIN 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 STA?E OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SiGNATUPE OF OP AULHOPIZED PGENT DATE <br /> JOH A'J�RE55 / <br /> 4831 Evergreen Way X /° � (�/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> � BATHTUB REFRIGERATIOk UNITS—H.P.EA <br /> LAVATGRY�WASH 6<31N� BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK G DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHEP WALLHFATERS—B.T.U. M <br /> U+UNDRYTRAY _ UNITIIEATEflS—B.T.U. M _ <br /> CLOTHES WASHER _ EVAPORATIVE COOL[RS <br /> W�TER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FPN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOfl ORAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKEFiS STOVE <br /> ROOF DRAINS—RAINLEADERS MET�L FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETC.� - <br /> SUBTOTAL SUO TOTAL f <br /> PEPMIT S PENMIT S <br /> TOTALFEE S TOTALFEE f <br /> SIDE YARO SETBACK STREET SETBACK flEAR YARD SEfOACK PLAN CHECK NUMBEFi PLAN CHECK FEE <br /> FEE RECEIPr NO. <br /> USE ZONE LOT AREA VACANT SITE . <br /> ❑YES ❑NO FEF3 VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GFOUP NO.OF�WELIING UNITS <br /> BUILDING $ 2(OO. li OO <br /> 517E OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIREZONF. BASEMENT FIRESFflINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY OATE �THER <br /> 1. ENVIRONMENTALCHECKLIST pENq�ry U.B.C. <br /> SEC.303�a) <br /> 2. BUIL�IMG PLANS <br /> TOTAL LZ OO <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSiEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IV THIS SPACE)THIS IS YOUR PERMIT <br /> , 5. GRADING ? / " 9 � ';� I 2. 0 O QQ� <br /> 6. DRAINAGE � <br /> � 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 0. NEALTH DISTRIGT ^ � ' �– �� � <br /> APPLICATION ACC.�Y PLANS CHECKED BY APPR.FOR ISSUANCE BY ' !'� ��'�, �� <br /> BAB <br /> - � �:eT s I <br /> ADDRESS FILE <br />