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N�eL•vCiYOF V�.11 ������IV� ' <br /> / <br /> everett PERMIT pERMIT NO. O�1OH <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBIlVATION � 9UILDING ❑ MECHANICAL ❑ PU)MBING <br /> OWNEF MAILPDf)RE55 CITY ZI� PMONE <br /> A1 Bolser Tire Sales Inc. 5530 Evergreen Way 98203 353-6226 <br /> APCHITECI'OROESIGNER MAILAD�flE55 CITY 21P PNONE <br /> GENESALfANTfiACTOR AIARAD�PE55 CITY ZIP Ff10NE UCENSEI <br /> Same <br /> MECHANICALCANTRFGTOR MAILFD�RESS CITY ZIP PMCNE LIGENSE/ <br /> PLUMBINGfANTft4CT^N MAllA0DRE55 CITY ZIP PHONE LICENSEI <br /> CLA55 OF WOPK <br /> ❑NE\'! ❑ADDITION �;�LTERATION ❑FEF'AIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF Y/OPK <br /> E 38��.�� <br /> DESCBIBE WG�iK <br /> replace siding and redo facade and remove marquee <br /> PFOWJSED L'FE OF BUIL�INC <br /> c�mcr,ercial i HEREBY CERT�FY THAT I HAVE READ AND EXAPAINED THIS AP- <br /> LEWLOESCN�FT�ONOFPFOPERTY�SHOYlBELOWORATTACHFOURGOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 24-25 3 Beverly Hills Div. 4 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�oc�_oF _ TYPE OF WORK WILL BE COMPLIED WITH WHFTHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> y VISIO OF ANY' OTHER STATE OR LOCAL LAW REGULATING <br /> CO T UCTION OR THE PE RMANCE OF CONSTRUCTION. <br /> JOBAD�aES.i SiG ATU EOFCONiRA OR .UT1 E� �ATE <br /> 5530 Evergreen Way X � 1/2/80 <br /> PLUMBING <br /> NO TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT �EE <br /> WA7ER CLOSET(TOILEn F�R COND. UNITS—H.P.EA. <br /> BATHTUB REFFIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH(3ASIN1 BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—70NNnG[EA. <br /> KITCHEN SINK 8 DiSP. FORCED AIR SVS7EM5—B.T.U. M EA. <br /> DISHWASHER W�LL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT HFATERS—�.T.U. M <br /> CLOTHES VJASHER EVAPORnTIVE COOLERS <br /> WATER HEATER CLnTHES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE Ii00D <br /> FLOOR URAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREABcRS STOVE _, <br /> ROOF DRAINS—RAI!JLEADERS IdETAL FIREPLACE 8 CHIMNEY <br /> SINK(SERb'ICE—BAR,ETC.) . <br /> SUB TOTAL SUd TOTAL 5 <br /> PERMIT S PEHMIT E <br /> TOTALFEE S 70TALFPE S <br /> SIDE YARD SEfBACK STREET SETBACK REAR VAR�SEfBACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E <br /> ❑YES ❑NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS �� <br /> BUILDING $ 3800.00 28 00 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUM9ING <br /> FIREZONE 6A5[h1ENT fIRESPRINKLERS <br /> REOUIRED MECHANICAL <br /> �YES ❑NO <br /> APPHOYALS BY DATE OTHER <br /> 7. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303(e) <br /> 2. BUILDING PLANS <br /> TOTAL 28 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PHOTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPEHLY VALIDATED(IN THIS SPACE)THIS IS YOUR PEFMIT <br /> 5. GRADING 6 4 9 q ,S 0 � p,O O �^'� ' <br /> 6. DRAINAGE Q <br /> 7. ENVIRONMENTAL IMPACT STATEMENT r"� - <br /> 8. HEALTH DISTRICT 1'p U R R�G E I FTo <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOK CUANCE BY - T7J�, ,� �.� <br /> �l �y <br /> z ' . <br />