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� <br /> fT <br /> everett PERMIT pERMIT NO. CH7H9 <br /> CITY HALL 253�8745 <br /> EVERETT,WA 98207 ❑ COMBINA?ION � BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> OYINER MAILAp�RE55 CITY ZIP MON6 <br /> Tom Huffman 5001 Evergreen Way Everett 252-9119 <br /> ARCHITECT Ofi DES:GNEi! MAI�AppPE55 CITY 21P PHONE <br /> GENERALCONTFACTOR IAAILAODFESS CITV 21P pHONE 4CENSEI <br /> S & S Sign Co. 13190 Stone Ave. N, Seattle 98133 365-0242 <br /> MECHANICALfANTRACTOR IAAILAUDPE55 C1TY 21P PHONE LICENSEI <br /> ❑LUMBINGCONTRACTOP MAIIAD�RE55 CITY ZIP PHONE LILENSEr <br /> GLA55 OF WOFK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE '�SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 691. 00 <br /> DESCPIBE Y/ORK <br /> install non-illuminated sign <br /> PqOPOSEU USE OF BUI�DING <br /> Commercial I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS AP- <br /> LEWLOESCRIPTIONOFPROPERTY�SHOWBELOWOflARACHFOUP.COPIES) PLICATION AND KNOW THE SAME TO BE TRUF AND CORHECT. <br /> ALL PROVISIONS OF LA�NS AND ORDINANCES GOVERNI�G THIS <br /> ior s�oc�oF TYPE OF WORK WILL BE COMPLIFD WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOiATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CO TRUCTION OR THE PER ORMANCE OF CONSTRUCTION. <br /> JOB ADDflE55 SIG U OF CAN TO nGENT DAiE <br /> 5001 Evergreen Way X � 1/19/81 <br /> PLUMHING MECHANICAL <br /> NO. TYPE OP FIXTURE Ofl ITEM FEE NO. TYPE OF E�UIPMENT FEF. <br /> WATEFi CLOSEi QOILEp AIR COND.UNITS—H.P.EA. <br /> BATH7U8 REFRIGERATION UNI7S—N.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.Eq. <br /> SHOVJEFi GAS FIRED A.C.l'NP�S—TONNAGE EA. <br /> KITCHEN SINK&�ISP. FORCED AIF SYSTEAIS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—p,T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEA7ER CLOTNES DRYERS <br /> URINAL VENTILA710N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> __ FLOOR DRAIN AIR HANDLING UNIT— GF.h1. <br /> _ VACUUM dREAKERS STOVE <br /> ROOF�RAINS—iiAINLEADERS MLTAL FIREPLACE 8 CHIMNEY <br /> �SINK ISERVICE—BAR,ETQ) <br /> SUB TOTAL SUBTOTAL S <br /> PEflMIT 5 PEHMIT S <br /> TOTAL FEE 5 TOTAI.FEE 5 <br /> SIDE YARD SETBACK S7REET SE78ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE P.ECEIPT N0. <br /> USE ZONE LOT AREA VACANT SI7E <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE Of CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 691. OG 5 00 <br /> SI2E OF BLDG. NO.OF STORIE� MA7(.OCC.LOA� <br /> PLUM9ING <br /> FIRE ZONE BASEMENT FIFE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENA�n• U.B.C. <br /> 2. BUILDING PLANS SEC.'s03(a) <br /> 3. FIREHYDRANT TOTAL - S 00 <br /> 4. FIFE PROTECTION SYSTEM PEHMIT VALIOATION <br /> WHEN PROPERLY VAiIDATEO(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING j � I Z � O a �. O 0 -- � <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTAL Ih1PACT STATEMEN7 � <br /> 8. HEALTH OISTRICT . ,.� . �� CO <br /> APPLICATION ACC.8Y PLANS CHECKED BY AFPR.FOfl ISSUANCE BY '� � �, -� �� f� I � <br /> . ..-,;'�1� �I� `. l� <br /> RII LNC <br /> _ � ' C3 I <br /> � _ U <br /> ADDRESS FILE <br />