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. <br /> theEvergreen r'ONSTRUCTIQN � - <br /> CITY OF <br /> everett PERMIT pERMIT P�O. 0917� <br /> � CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION �78UlLDING ❑ MECHANICAL ❑ PLUMBING <br /> OWN[R MAILAODRE55 CITY 21P PHOtlE <br /> Brien Motor' s 5200 Evergreen 4Tay Everett <br /> . ARCHrtECTOflDESIGHEfl MAILADDPE55 CITY 21P �HONE <br /> GENERAL LONTPACTOR MAIL AO�FE55 CIN ZIP PHOAE LICENSE� <br /> 5 & S Sign Co. 13190 Stone Avenue North Seattle 98133 365-0242 <br /> MEGHaNICA�GONTRFC70A MAILAODFESS CITY 21P PHONE LIGENSF.I <br /> PLUMBINGCANTFAGTOR MAILAODRE55 CITY ZIP PHONE UGENbEI <br /> LLASS OF WORH <br /> ❑NEW ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF Y/ORK <br /> . E 12�0.�� — <br /> OESGRIBE WOFK <br /> install illuminated sign _ <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGAL�ESCRIPTIONOFPROPERtt�SMOW�ELO'.YORATTACMiOUflCA%ES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or o�oc�uF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> FiEREIN 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 LOC.AL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNA� fi OFCONTR pBO AUir•^F12EDAGENT DATE <br /> J0�ADORESS � / 1 <br /> 5200 Evergreen Way X���-G�{�� � �(�� 4/27/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPI�IENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H P.EA. <br /> . BATHTUB REFRIGEfiATION UNITS—H.P.EA <br /> LAVATOFY QNASH BASIN� BOILERS—H.P.EA. <br /> SHUN/EF GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FOFCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLFFATERS—BT.U. M <br /> LAUNDRY TRAV UNIT HLATEFS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEflS <br /> . WAiEq HEATER CLOTHES Df7YER5 <br /> URINAL \'ENTILATION FAN <br /> DRINKING FOUN7AIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADEPS METAL FIREPtFCE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) — <br /> SUBTOTAL SUB TOTAL S <br /> PEpMIT S PEHMIT = <br /> TOTAL FEE S TOTALFEE S <br /> SI�E YARD SETBACK STREET SETBhCiC REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LO7 AREA VACANT SIT[ <br /> ❑YES ❑NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING b 1200. 00 9 00 <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑VES ❑NO <br /> APPROVALS BY LATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303�a) <br /> 2. BUILDING PLANS � <br /> 3. FlREHYDRANT <br /> TOTAL 9 00 <br /> 4. FIPE PROTFCTION SVSTEM PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING (� <br /> Sign to be all on� pr�vatE �pOr pe'tty. <br /> 6. DRAINAGE ti <br /> 7. ENVIROIIMENTAL IMPACT STATEMENT � <br /> B. HEALTH DI:TPICT � „ �� .� '. I j� � <br /> APPLICATION ACC.6Y PLANSCHECKED BY APPR.FOR ISSUAHCE BY � � ��i • �� �J <br /> � , , �� C' I <br />