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rdeE�'Crvren � � (' ���,T`RUCTIC�N � . <br /> everett PERMIT PERMITNO. ,-404� <br /> CITY 11ALL 259-9745 <br /> EV'cFiEfT,WA�J8201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNEF A1AtLADDflE55 CITY ZIP PMONE <br /> p Al Bolser Tire's 5530 Evergreen Way Everett 98204 253-2137 a <br /> ARGHITECT OR UESIGNER MAI�ADOHE55 CITY ZIP GHONE <br /> GENERALWNTFACTOR MAILA�OPE55 GITY ZIP PHONE LILENSEM <br /> Berry Neon Co. Inc. P.O. Sox 5269 Lynnwood 98046 776-8835 <br /> MECHANICAL GONTRAGTOR MAIL AppPE55 CITY 21P PHONE LILENSE� <br /> BERRYN t 247LD <br /> PLUMBING LONTflAGTOR MAIL ADDRE55 GIN ZIP PHONE LICENSE� <br /> CLA55 OF WORK <br /> ❑ NEW O ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE �{SIGN O WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WOFK <br /> 5 58�e�� <br /> OESCflIBE WOflK <br /> install illuminated sign <br /> PROPOSED fISE OF BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESGHIPTION OF GROPEFiTY(SHOW BE�OW OH ATfACM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGUL/1TING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AOORESS SIGNATtIR F CO TRACTOP HONIZED AGENT / O }�A�/b� <br /> 5530 Evergreen �vay X c � � <br /> PLUMBING MECHAN CAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSE7(TOIIEn AIR COND.UNITS— H.P. EA. <br /> BATHTUB ftEFRIGERATION UNITS— H.P.EA. <br /> LAVATORY(VJA.".H BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIREO A.C.UNITS—TONNA0.4 EA. _ <br /> RI7CHEN SINK 8 OISP. FOFCED AIR SYSTEMS— 6.T.U. M EA. <br /> OISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES VJ.ISHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES OfiYERS ,_ <br /> URINAL VENTILATION FAN <br /> i <br /> �RINKING FOUNTAIN RANGE HOOD <br /> � FLOOF DRAIN AIR HANDLING UNIT— C.F.M. _ <br /> VACUUM BREAKERS STOVE—WO00 _ <br /> ROOF DFiAINS— RAINLEADERS METAL FIREPLACE 8 CHIMhEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUO TOTAL S SU9 TOTAL t <br /> PEfiM17 5 PERMIT 4 <br /> TOTAL FEE S TOTALFEE t <br /> SIDE YARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AFiEA �AC.1NT SITE FEES VALUATION FEE <br /> _l'ES ❑NO <br /> NPE OF CONST. OCCUPANCY GflOUP NO.OF DWELLING UNITS <br /> BUI�DING $ j8�� 5 07 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOA� <br /> PLUMBING <br /> FIPE ZONE BASEMENT REOUSRED KLERS MECHANICAL <br /> � i-:YES :.-�.NO <br /> r APPNOVALS B1' DATE GTHER _ <br /> 1. ENVIRONMENTAL CHECH LIST PENAL7Y U.B.C. <br /> SEC.303(a) <br /> 2.BUILDINGRLANS TOTAL S 00 <br /> �,FI(iE HYDRAMT <br /> 4.FIFE PROTEGTION SYSTEM PEqMIT VALIDATION <br /> S.lif1ADING WHEN PROPEtiLY VALIDATtD�1N THIS SPA 5)THISCIS�YC�II�j PF�R�tIT � <br /> � � �� �� <br /> ' 6.DRAINAGE Sign to be all on private property, 0 ,d <br /> 7.ENVIRONMENTALIMPACTSTATEMENT C*' <br /> 8.HEALTH�ISTRICT ' � � �� ��"� ��'� r'Y <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ' �� " �' � � I <br /> . . . �,,. � ;� U <br /> � NV/LC � ��` � <br /> i .�:I u'! <br /> ADDRESS FILE <br />