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PERMlT 'NC3. O71� $ <br /> CITY HA�L 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION .rx� BUILDING ❑ N!ECHANICAL ❑ pLUMBI.NG <br /> OY/N[F MAILqDpflE55 CITY ZIF PMONE <br /> Al Bolser Tire Sales Inc. 5530 Evergreen Way 98203 353-5226 <br /> ARCH�TECTORDESIGNEH MAILADDRESS LITY ZIP pp��,�� —� <br /> GENEiiALCANiRACTOP M.4'LADDRESS f.ITY ZIP PHONE LICENSEI <br /> Same <br /> MEGNANICA��pNTflAQOR 1„AILADDRE55 CITY 21P PHONE LICENSEI <br /> ❑WM91NGCANTFACOR IAAILADDflESS CITY ZIP PHONE UCENSE/ <br /> CLASS OF WOflN <br /> ❑NEW ❑AGDITION �L7EHATION ❑REPAIR ❑DEIAOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VA�UATION OF WOflN <br /> s 3800.00 <br /> DESCFIOE WGRN <br /> replace siding and redo facade and remove marquee <br /> PflOPOSEU USE OF BUILOING <br /> comm�rcial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCPIPTIONOFPqOPERTY(5110NBELOWORATTAGHFqUR(APIES� PLICATION AND KNOW THE SAME f0 BE TRUEltND CORRECT. <br /> 24-25 3 Beverly Hills Div. 4 ALL PROVISIONS 9F LAWS AND ORDINANCES GOVERNING TH�S <br /> �o. e�a�_oF TYPE OF WORK �'dILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING Or A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE Or�CANCEL THE PRO- <br /> VISIO OF ANY OTHER STATE vR LOCAL LAW REGULATING <br /> CO T UCTION OR THE PE RMANCE OF CONSTRUCTION. <br /> JOB N�DBE55 51G ATU E GF CONTRA F UT E�lGENT OAiE <br /> 5530 Evergreen Way X � 1/2/80 <br /> PLUMBIN-3 - <br /> NO. TYPE OF FIXTURE OR ITEM FEE � NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSE7(TOILEn AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNIiS—M.P.EA <br /> LAVATORY IWASH OASIN) _ 801LERS—H.P.EA. <br /> SNOWER GAS FIPEU A C.UWITS—TONNAGE EA. <br /> KITCHEN SIYK 8�ISP. FORCE[?AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—O.T.LL �d <br /> LAUNDFiY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLEF75 <br /> WATER HEATER CLOTHES DRYERS <br /> U7fNAL VENTIIATION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF GR41N5—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SEHVICE—BAR.ETC.) ' <br /> SUBTOTAL SUfl TOTAL S <br /> PEpMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PiAN CHECK NUMBER PLAN CHECK FEE <br /> � FEE RECEIPT NO. <br /> USE ZONE lOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> NPE OF CANST. OCCUPANCY GROUP NO.�F DWELLING UNI75 <br /> I <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD BUILDING 5 3f100.00 28 00 <br /> PLUMBING <br /> fIRE ZONE BASEMENT FIPE SPRINKLERS <br /> REOUIRED MECHANICqL <br /> qYES ❑NO <br /> APPflOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> 2. BUILDING FLANS SEC.303(a) <br /> 3. FIRE HYDRANT T�Ta� 28 00 <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION ' <br /> WHEN PROPERLY VALIDATED(IN THIS SPACC)THIS IS YOUR PERMii <br /> 5. GR4DING 6 4 9 4 s 0 Z S, O O +��� ' <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � . <br /> r� _ <br /> ` 8. HEALTH DISTRICT YO U R R f�C E I Rl�� ' <br /> APPLICATION ACC.BV PLANS CHECKED BY APPR.FOR ISSUANCE BY � <br /> �•�• THANK i'!O.0 <br /> ; . <br /> ADDRE55 FILE � ' 2 J� g� <br /> - � ' <br />