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" \ <br /> the Evergreen /�n�c7���I I�� <br /> ^iiYOF V V <br /> eve�ett PERMIT pERMIT NO. O87H9 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRE55 GITY 11P PHONE <br /> Tom Huffman 5001 �vergreen Way Everett 252-9119 <br /> APGHITECTORDESIGNER IAAILADDRE55 CITY ZIP PMONE <br /> GENERAL CANTRACTOR MAIL ADORESS f,ITY ZIP PHONE LICENSE� <br /> S & S Sign Co. 13190 Stone Ave. N, Seattle 98133 365-0242 <br /> MECNANICALCANTRACTOP MAILADDRE55 CITY ZIP PHONE LICENSEI <br /> PWlABINGCONTFiACTOR IAAILF�DRE55 CITY ZiP PHONE UC[YSEI <br /> CLA55 OF 1YOFK <br /> ❑NEW ❑ADDITION ❑ALTEPATION ❑REPAIR ❑UEMOLITION ❑fENCE �ILSIGN ❑GARAGE <br /> VALUATI011 OF WORK <br /> S 691. 00 <br /> OESCRI�E WORK <br /> install non-illuminated sign _ <br /> PROPOSEO USE OF BUILDING <br /> Commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF'� <br /> LEGAL OESCRIPTION OF PNOPEflTY�SHOW BELOW OR ATTACH FOUR fAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIOMS OF LAWS AND ORDINANCES GUVERNING THIS <br /> �or BLOCH_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFiEG <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 LAW REGULATING <br /> CO TRUCTION OR THE PER ORMANCE OF CONSTRUCTION. <br /> SIG U OF CON TO GENT DATE <br /> J0�ADDRE55 1/19/81 <br /> 5001 Evergreen Way X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF F_pUIPMENT FEE <br /> WATER CLOSET ROILE?) AIR CONO.UNITS—H.P.EA. <br /> BATHTUB REFRIGERA7I�N UNITS—H.P.EA <br /> LAVA70FiY�NASH BASIN) BOILERS—H.P.EA. <br /> SHOVlER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KiTCNEN SINK&DISR FORCED AIR SYSTEMS—B.T.U. M EA. _ <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> �LOTHES WASHER EVAPOV7ATIVE COOLERS <br /> W.47ER HEATER CLOTHES DRVERS <br /> URIiIAL VENTILATION FAN <br /> ORINi<I�G FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN AIR HAN�LING UNIT— QF.M. <br /> VACUUM OPEAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> �SINK(SEFVICE—BAR.ETCJ <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTAIFEE 5 TO7ALFEE S <br /> SIOE YARD SEiBACK STREET SETEACK FEAR YARD SETBACK PLAN CHECK NUMOER PLAN CHECK FEE <br /> FEE HECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VAIUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONSi. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING s 691. 00 5 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT R OUIFED KLERS MECHANICAL <br /> ❑YES ❑NO <br /> APPNOVALS BY DATE �THER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.BC. <br /> SEC.3031a) <br /> 2. BUILDING PLANS <br /> TOTAL 5 00 <br /> 3. FIRE HYDRANT " <br /> q. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED 11N THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GFADINC j % I Z G !1 O C. !1 Q __ � <br /> 6. DFAINAGE U J I1 <br /> 7. ENVIRONMENTALIMPACTSTATEMENT �' <br /> � <br /> 0. HEALTH OISTRICT ,, . , �, I1�.:'. � I I�I (� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE�Y <br /> . i i� <br /> , RB LNC , <br />