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rhe£rerAmen r� N ST R U CT I O I�J <br /> cirv oF � <br /> everett PERMIT PERMIT NO. 12579 <br /> CITY HALL 259�8745 <br /> EVERETf.WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYlNER MAII ADORESS CITY 21P PMONE <br /> Don Keys Locksmith 5108 Evergreen Way Everett 98203 258-1422 <br /> ARCMI7EGT OR DESIGNER MAIL ADDFE55 CITY ZIP PHONE <br /> GENERPL CONTRACTOfl MAIL A�DPESS CIiY ZIP PHONE LICENSE X <br /> Simco Sign Co. P.O. Box 68 <br /> Everett 98206 252-0086 <br /> MEGMANICAL CONTRACTOR MAIL AOORESS CITY ZIP PHONE LICENSE M <br /> -' � '�' PLUMBING CONTNACTOR MAIL ADOflESS CITY 21P PMONE UCENSE M <br /> CLASS OF WOPK <br /> ❑NEW ❑ ADDITION ❑ AL7ERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE f,�[SIGN O WOOD STOVEIFIREPLACE INSEFi <br /> VALUATION OF WORK <br /> = 1400.00 <br /> OESCRIBE WOHK <br /> Instr.11 illuminated sign <br /> PROPOSE�I15EOF BUIL7ING I HERFBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AMD <br /> LEGALDESCFIPTIONOFPROPERTY�SHOWBELOWORATTACNFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS Tl'PE OF WORK WILL BE COMPLIE�WITH <br /> _BLOCK_OF WHETHER SPECIFIED HEREIN OR NG�.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGU ATING CONSTRUCTION OR THE <br /> PERF09DA �E � NSTRUCTION. <br /> JO•u AODRE55 SIGNAT RE 0 0 T TO OR AUTHORRED AGENT 0 E <br /> 5108 Evergreen Way X - / � �� 2//8,� <br /> PLUMBING MECHANICAL <br /> Np. TYPE OF FIXTUR'c OR ITEM FEE N0. TYPE Of E�UIPMENT FEE <br /> - WA'ER CLOSEryTOILEn AIR COND.UNITS — H.P. EA. <br /> BATHTUB REFHIGERATION UNITS— H.P.C-A. <br /> LAV�ITORY(VJASH 3ASIN) � BOILERS — H.P.EA. <br /> SHOWER GAS FIRED A.G.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK A DISP. FORCED AIR SYSTEMS— B.T.U. M EA. _ <br /> DISHWASHER WALL HEATERS— B.T.U. ti1 <br /> UNIT HEATERS— B.T.I/. M <br /> � LAUNDRYTRAY EyqppqqTlVE COOLEFS <br /> CLOTHES WASHER <br /> WA7ER HEATER CLO�HES DflYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOO� <br /> FLOOR DRAIt� AIR HANDLING UN'�T— C.F.M. <br /> VACUUM BFEAKERS STOVE—WOOD <br /> ROOF DRAINS— AAINLEADEhS M[TAL FIREPLACE&GHIMNEY <br /> S'NK(SERVICE— BAR,GTC.) FIREPLAGE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PEPMIT S PEHMIT 5 <br /> TO7AL FEE f TOTAL FEE E <br /> PLAN CHECK FEE <br /> SIDrYARD SETBACK STREETSE79ACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> I.:YES :-.:NO <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUIL�ING $ 1400.00 9 0 <br /> SIZE UF BL�G. NO.OF STORIES MAX.OCC.LOAD pLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED — <br /> � �.:YES �-;NO <br /> BY DATE �7HER <br /> APPROVALS U.B.C. <br /> +.ENVIRONMENTAL GHECK LISr PENALTY SEC.303(a) <br /> 2.BUILDING PLANS - TO7AL 9 00 <br /> 3.FIRE HY�RANT <br /> d.FIRE PROTECTION SYS7EM PEFMIT VALIDATIOH <br /> WHEN PROPERLY VALIDATED(W THI�jP?3)THIS�SOYQUP Pf�R�17 � I <br /> 5.GRADING u y u � <br /> 6.�RAINAGE � � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT N <br /> 8.HEALTH DISTRIC7 �j',�� �� h F�C E I PT � <br /> qpPLICATION ACC.BY PLAIJS CHECKED BY APPR.FOR ISSUANCE BY <br /> � �,'�,,f��: ���U <br /> RF � <br /> ;) 7 CCi �� <br /> ADDRESS FILE <br /> � � <br /> � <br />