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, , _ <br /> `"P`"��;oF � rC�11STRUCTION -- <br /> everett PERMIT PERMIT N0. O?748 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ WIECHANICAL ❑ pLUMBING <br /> 05YNEfl Rosebud's 4925 Evergree'ri"'tJ&Q"Ess cirv z�v PNONE <br /> �C7C7tM� �{�{}�}�}��{ Everett <br /> ARCNITECT Ofl DESIGNER IAAIL ADDfiE55 CIN 21P PNONE <br /> GENERAL CANTRACTOR IAAIL ADDRE55 CITY ZIP PHONE LIGENSE/ <br /> Simco Sign Co. 2719 Maple Everett 252-0086 SI-MC-OS L272P3 <br /> MECHANICAL fANTMCTOR A1AIL AD�FE55 CITY ZIP PHONE �ICENSE I . <br /> PLUMBINGCANTRACiOP M1IAILADDPESS CITY ZIP PNONE LIGENSEN <br /> CLASS OF WOPN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMCLITION ❑FENCE L�SIGN ❑GAflAGE <br /> VALUATION OF WOflN <br /> 512��.�� <br /> UESCFI�E WORK <br /> Per Attached erect illuminated sign <br /> PROPOSED USE OF BUILUING - <br /> I HER[BY CERTIFY THAT I HAVE READ AND EXAMIIJED THIS AP- <br /> LEGAL DESCRIPTION OF PqOPERtt�SHOW BELOW OF 4RACH FOUR CAPIES) PLICATION AND KNOW THE SAP,AE TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or__e�oc�_oF TYPE OF WORK WILL PE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME IO GIVE AUTHORITY TO VIGLATF OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIO THE PERFORMAN�E OF CONSTRUCTION. <br /> JOBAOOfiE55 SIGNATURE ORA'ITMOR2EOFGENT DATE <br /> 4925 Evar reen Wa X �--�--�-c,�� 6/26/80 <br /> PLUMBING CHANICAL <br /> N0. TYP:OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WA7ER CLOSET(TOILEn AIF COND.UNITS—H.P. EA. <br /> BATHTUB PEFRIGERATION UNITS—H.P.EA <br /> V LAVATOFY 1WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNI75—70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALI HEATERS—B.T.U. M <br /> LAUNORV TRAY UNIT HLATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNECOOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> UFINAL VENTILl�TION FAN <br /> DRINKING FOUNTAI�7 RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE—BAR,ETC.1 <br /> SUBTOTAL ' SUBTOTAL 5 <br /> PEHMIT S PcqMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREE7 SETBACK qEAR YARD SEfBACK PLAN CHECK NUMBER PLAN CHECK FEE � <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUA?ION FEE `� � <br /> TYPE Of CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> SIZE OF BLD�. NO.OF STORIES MAX.OCC.LOAD BUILDING $ 1200.00 9 00 <br /> PLUMBING � � <br /> FIRE ZONE BASEIAENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑Yf-S ❑NO <br /> APPROVALS BY DATE OTHER � <br /> 1. ENVIFONMENTALCHECKLIST <br /> PENALTY U.B C. <br /> 2. BUILDING PLANS SEC.303(e) <br /> 3. FIRE HYDRANT TOTAL � <br /> 9 00 <br /> 4. FIRE PflOTECTION SYSTEM PEHMIi VALIDATION <br /> WHEN PPOPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> S. GRADING <br /> fi. DRAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT 4 0 6 4 $ O O ]. O L� "'��1 � • <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.8Y PLANS CHECKED BY APPR.FOR ISSUANCE BY � � <br /> Ra ar� Y^ UR R�CI:IPT <br />