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_ � <br /> theEi'CrveoF r � C�p �STRU�TI(' � <br /> everett PERMIT PERMIT NO. 14107 <br /> CITV HALL 259�8745 <br /> EVERER,Y!A 98201 ❑ COMBINATION � BUIL�DING ❑ MECHANICAL ❑ PLUfdBING <br /> OWNEP MAILADDRE55 CITY ZIP PHONE <br /> Texaco 5001 Evergreen Way Everett 939-3138 <br /> ARGHITECT OR DESIGNER MqIL A�ppE55 CITY ZIP PMONE <br /> / . GENEPALGONTRACTOR IdAILApGAFeS GTYseattle ZIP PMONE LIGENSEX <br /> S & S Sign Company Inc. 13190 Stcr.e Avenue Ptid�iX3lK3f 365-0242 <br /> tAECMANICAL WNTFACTOF MAIL AU�RESS CITY ZIP PMONE LIGENSE Y <br /> SSSIGC3030N <br /> PLUMBING CONTRACTOR MAIL AL�RESS CITY ZIP AHONE LICENSE 1 <br /> CLA55 GF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTEPATION ❑REPAIR O DEMOLITION O FENCE �SIGN ❑ WOOD STOVE/FIREPLACE INSERT �: <br /> VALUATION OF WORK . <br /> S ?����.n� <br /> DESCRIBE 1YORN Texaco � <br /> Install three sets of %HglI3l� Letters <br /> PPOPOSED USE OF B111L0ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAF!INED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRlJE AND <br /> LEGALOESCf:IPTIONOFPp(1VERTY�SHOWBELOYlORATTqCMFOURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINnNCES <br /> �or_r�,o�K_oF_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED V'�'ITH <br /> WHETHER SPECIFIED HEAEIN OR NOT.THE GRANTING OF.4 <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PcRFORMANCEOFCONSTRUCTION. <br /> JOB AD�RE55 SIGNFTUiit OF ONT CiOR OR AUTHOp!ZED AGENT OAT <br /> 5001 Evergreen Way X ' � ��� l <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF PIXTURE OR ITEM FEE NO. TYPE OF EQUIPM1IENT FEE <br /> WA7ERCLOSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFfiIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASINI BOILERS — H.P. EA. <br /> SHOWER GAS FIREO A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATEFS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEA'i ERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEP.S <br /> WATER HEATER CLOTHES�RYESS <br /> URINAL VENTILATICN FAN <br /> C�7lNKI!:3 FOUNTAI!J RANGE HOOD <br /> fLGCF UF.AI� AIR HANDL�JG UNIT— 4F.M. <br /> VAi:UJM BREAKC-PS STOVE—WOOD <br /> RCOF�ORAINS— RAINLEAOEFS METAL FIREPLACE&CHIMNCY <br /> a'INK(SERVICE— BFR, ETC.) FI(7EPLACE INSERT <br /> HEAT PUMP <br /> SUtl TOTAL 5 SUB TOTAL 5 <br /> PEflMIT 5 PEflMIT 5 <br /> 70TALFEE 5 70TAL FEE S <br /> SIDE VARD SETBACK STREET SETBACK REAR YARU SETOACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> i FEE RECFIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDING 5 Z�000. 9 0� <br /> SIZE OF BLDG. NO.OF S70RIE8 MAX.OCG LOAD <br /> PLUMBING <br /> FIRE ZONE BASEAIENT 'FIRE SPRINKLERS ��ECHANICAL <br /> iEOUIRED <br /> �:.VES C!NO <br /> APPROVALS BY UATE OTHER <br /> 1.EIJVIRONAdEN7AL CHECK LIST PENAL7V U.B.C. � <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHVDRAN7� TOTA� 9 OU <br /> 4,fIHE PROTECTION SYSTEM PEHMIT VALIUA710N <br /> WHEN PROPERLY VALIDATED pN THIS PAGEI TNIS 15.Y0 P,E9MIT � <br /> 5.GRADiNG � <br /> 6.DRAINAGE �' - . ��. J /. li ' -- <br /> 7.ENVIRON\tEflTAL IMPAC75TATEMENI' � <br /> � B.HEAL7H DISTRICT . � � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FUR ISSUANCE BY � . . . I,' i <br /> RF NV-LC . . " <br /> AD�RESS FIiE <br />