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, , <br /> !he£�rrgrecn �� \,C�����lo� 1 <br /> CITY OF r J " ' <br /> evere�: PERMIT pERMIT NO. 0�74$ <br /> CITY HALL 259��745 <br /> EVERETf,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> owNe�bu�d''s 4925 EvergYeeH"'W$Q`�Ess cm zir rHo�ie <br /> �f�i{}�}K� Ever:•tt <br /> ARCNITEGT OR OESIGMER MAIL AO�RESS CITV ZIP PHOME <br /> GENERALCANTBACTOR MAI�ADDRESS CITV ZIP PHONE LICENSfi1 <br /> Simco Sign Co. 2719 Maple Everett 252-0086 SI-MC-OS L272P3 <br /> MEGNANICAL CANTFiACTOF MAIL pD�NE55 Gliy 21P PHONE �ICEHSE! <br /> PWMBINGCANTRACTOR MAILADDPESS CITV ZIP PHONE �ICENSEI <br /> CLA55 OF WORK <br /> ❑NEW ❑ADDITION CALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE C�SIGN ❑GFqAGE <br /> VALUATION OF WOfiN <br /> 51200.00 <br /> DESCRIBE WORH <br /> Per Attached erect illuminated sign <br /> PR01'OSED USE OF 9UILDING ' . <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGAL0E5GRIPT10NOFPqOPERTY�SHOW�ELOWORARACH'OURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES G04ERNING THIS <br /> �or o�oc�oF TYPE OF WGRK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THC GRANTING OF A PERMii DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIO THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDflE55 SIGNATURE ORAUiHORIZEDAGENT DATE <br /> 4925 Ever reen Wa X 6/26/80 <br /> PLUMBING CHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FE'c N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn ,41R CpND.UNITS—H.P.EA. <br /> � B.4THTU8 REFRIGERATION UNITS—H.P.EA <br /> LAVATORY�WASH BASIN) BOILERS—H.P.EA. <br /> ' SHOWER GAS FIqED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.7.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> IAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLO7HE5 WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUN7AIN RANGE HOOD <br /> FLOOfl DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS SiOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAP,ETC.) <br /> SUBTOTAL SUB TOTAL 5 <br /> PENMIT S PEqM1T S <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARD SE7BACK STREE7 SETBACK ReAR YAqD SET�ACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE '� <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNI15 <br /> 512E OF BLD�. NO.OF STORIES MAX.OCC,LOAO BUILUING � ]_200.00 9 00 <br /> PLUMBING � � <br /> FIRE ZONE BASEt,AENT FIRE SPRINKLEHS � <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPHDVALS BY OATE OTHER . <br /> 1. ENVIRONMENTAL CHECK LIST -- <br /> PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.3D3(a) <br /> 3. FIRE HYDRO.AT TOTAL <br /> — 9 00 <br /> 4__FIRE R50TEC�,ION SYSTEM PEHMIT VALIDA;ION <br /> 5 GRADING WHEN PROPERLY VALIDA7EU(IN THIS SPACE)T41S IS YOUR PERMIT <br /> 6. ORAIM 4GE Od <br /> 7. ENVIRONMENTAI.IMPACT STATE1dENT 4 0 6 4 a 0 0 9. 0 0 =-=ti1 �� <br /> B. HEAITH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.PORtSSUANCE BY O <br /> xa sAs Y^ UR RECEIPT <br /> 'i�i,�1P;K YOU <br /> ADDRESS FILE <br /> ., � ..... �„ _ <br />