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1 <br /> rheEvc�voF C�NS�'F;UCTION -� - <br /> ,- everett P�RMIT FERMIT NO. Og"LO � <br /> CITY HALL 259�8745 <br /> EVENETT.WA 98207 ❑ COMBINATION �cBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEP MARAODBE55 GRY ZIP PHONE <br /> A1 Bolser Tire Service 5530 Highway 99 South 353-2137 __ <br /> ARCHITEGTORDESIGNER MAILA�DRE55 CITY ZIP PIIpNE <br /> GENERAL CONTRFQOF MAIL PppPE55 CIiY ZIP PHOVE LIGFNSE♦ <br /> � S & S Sign Company 13150 Stone Avenue North Seattle 9E133 <br /> MECNANICALCOHTRqGTOR MAILAODRE55 CITV 21P �HONE UCENSE/ <br /> PLUIdBINGfANTHACiOfl ti�AILA00RE5S CIiV 21F PHONE LICENSEI <br /> ClAS50F WOFK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPA�R ❑DEMOLITION ❑FENCE �}➢GN ❑GARAGE <br /> ypV�pTiON OF 1YORK � <br /> ; 1900. 00 <br /> CESCRIBE WORN <br /> erect iZluminated Sign ' <br /> PROPoSED USE Of BUILPNG <br /> Z <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINcD THIS AP- � <br /> -- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. �-�+ <br /> LEGAI OESGPIPfION OF PROPEPTV�SHOW BELOW OR ATTAGH FOUfl CAPIES� n <br /> ALL PROVISIONS OF LAWS ANfi ORDINANCES GOVERNING THIS m <br /> �or eioc�_oc _ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED •' <br /> HEREIN OR NOT. THE GRANTING O� A PERMIT DOES NOT <br /> PRESUMETOGIVEAUTHORITYTOVIOL:ITEORCANCELTHEPRO� � T <br /> VISIONS OF ANl' OTHER STAT OR LOCAL LAW REGUTATING ,,., ,� <br /> , CON RUCTION OR THE PERF MANCE OF CONSTRUCTION. v� ix <br /> J9B AODRE55 --- SIGN i E OF CqNiRA R P�U/lHOR � / OATE <br /> 5530 Evergreen Way X ��- � "l 1�,,� m o <br /> --- -� c <br /> PLUMBING MECHANICAL o 3 <br /> NO,��IYPe OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE _� <br /> WATER CLOSET QOI'_ET) N�R COND.UNITS—H.R EA. m H <br /> BATHTUB REFRIGERATION UNITS—H.P.EA C = <br /> LAVATORY�WASH BASIN) BOILERS—H.P.EA. � _ <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. �+ <br /> KITCHEN SINK 8 OISP. FORCED AIR SI'STEMS—B.T.U. M EA. � N <br /> DISHWASHER H'ALL HEATEPS—B,T.U. M p � <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M � 3 <br /> CLOTHES WASHER EVAPORATIVE COOLERS � m <br /> x <br /> WATER HEATER CLOTHES DRVERS m "" <br /> y <br /> URINAL VENTILATION FAN O r <br /> DRINKING FOUNTAIN FiFNGE HOOD C� fn <br /> FLOOR DRAIN Alq HANDLING UNI7— CF.M11. 3 N <br /> VACUUM BfiEAKERS STUVE =n <br /> ROOF DRAINS—RAINLEADERS MET.�L FIREPLACE&CHIMNEY �m <br /> SINK�SERVICE—BAR,ETCJ __ • D <br /> A <br /> _ � <br /> 2 <br /> — — — n <br /> - z <br /> � <br /> SUB TOTAL SUBTOTA� 1 = <br /> �--i <br /> PEHMIT S PERMIT S (n <br /> TOTALFEE f TOTAL FEE S z <br /> SIDE YARD SETBACK STREE7 SEfBAGK REAR YApD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE � <br /> � <br /> FEE RECEIPT NO. �j <br /> m <br /> USE ZONE LOT AREA VACANT SITE <br /> OYES ❑NO FEES �ALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OP DWELLING UNI7S <br /> eUILDING 5 1900 9 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIS7 PENALTY U.B.i:. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIREHYDRANT TOTAL 9 00 <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � � � � ^ '; 0 9. 0 u - � <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT N <br /> � <br /> e. HEALTH DISTRICT � . - � <br /> . . ., . _, fi�� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> � i <br /> . � ! <br /> RF SAB <br /> ADDRESS FILE I ii -•,�i G I <br />