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� <br /> `,'eE''CIgTYeOF � �NSTRUC�ION <br /> ev�rett �ERMIT pERMIT NO. O9OG9 <br /> CITY HALL 259�8745 <br /> EVERETf.WA 98201 G COMBINATION �BUILDING ❑ MECFiANICAL ❑ PLUMBING <br /> OVlNER MAII AOORE55 CITY ZIP PHONE <br /> Everett Hobbycr�ft 5108 Evergreen Way <br /> ARGHRECT OR DES�GNER MAIL FDDFESS CITY 21P PHONE <br /> GENERe rNYA�eon �.'P. ZIIC . 21�2'�I`Ab�RSt WOSt Lynnwood�ry 98036 Z�776-8835 PHONE LICENSEI <br /> it <br /> MECHANICAL CONTMCTOfi MAIL AD�FESS CIT'f ZIP PMONE UCENSE/ <br /> PLUIdBING CANiRACTOfl IAA1L ADORE55 CITV 21P PHONE LILENSE! <br /> C1A550F WORK <br /> ❑NEW ❑A�DITION ❑ALTER.4TION ❑FEPAIR ❑�EMOI.ITION ❑FENCE �SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 548�0. �� <br /> �ESCRt6E WORK <br /> Erect :ll.uminated sign <br /> PPOPOSED USE OF GUIL019G <br /> I HEREBY CERTII=Y THAT � HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCRIPTIONOFPPOPEIITYIS-CW DELOY/OPATTACHFOUBCCPIES) PLICATION AND KNOW THE SAM[ TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or__eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> — SIGNATURE OF CANTRfu;TOR OP APTHOPRED AGEIJT DATE <br /> �osp�o��ss Evergreen Way X 4/1/81 <br /> PLUM8ING MECHANICAL <br /> NO. TYPE(3F FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> YJATER CLOSET R�IL['1 AIR COND.UNITS—H.P.EA. <br /> BATH�UB FEFI7IGERATION UNIiS—Ii.P.EA <br /> LAVATOflY(WASH BASINI BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KIiCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER � WALL HEATERS—B.T.U. M <br /> LAUNORY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION fAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM 6REAKERS STOVE <br /> ROOF�RAINS—RAINLEADERS MEfA,.PIPEPLACE 8 CHIMNEY <br /> SINK 1SERVICE—BAR,ETC.1 <br /> SUBTOTAL SUBTOTAL 5 <br /> PERMIT S PEHMIT 5 <br /> TOTAI FEE £ TOTALFEE S <br /> SIDe YARD SETBACK STREET SETBACK REAR YARD SETOACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING b 48�� . 24 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.00C.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMEN7 FIRE SPRINKLEfiS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST pENALTY U.BC. <br /> SEC.303�a) <br /> 2. BUILDING PLANS <br /> TOTAL 2 9 0 0 <br /> 3. FIRE HYORANT <br /> a. FIRE PROTECTION SYSTEAI PEHMIT VALIDATION � � <br /> _ VlHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUF PLFMIT <br /> 5. GP.ADING Sign to be all on private property �O(�� <br /> 6. DRAINAGE E I � 3 �; � 2 � � � — 5 <br /> 7. ENVIRONMENTAL IMPACT STATEMENT <br /> � <br /> 0. HEALTII DISTRICT 0 <br /> APPLICATION ACC.BY PLANS CHECKED BY AFPR.FOR ISSUANCE BY � - � �' -��,_ ; �C�� <br /> � RAF flAB . . � �.I <br />