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# rhe Evergreen , <br /> cirr oF <br /> rONSTRUCTION - <br /> everett PERMIT pERMIT NO. 09159 <br /> GITY HALL 259�8745 <br /> EVERETT,WA eezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> MAIL A�ORE55 CITY ZIP PHONE <br /> pWNER <br /> Everett Builders 5606Evergreen Way Everett 98203 353-7161 <br /> ABGHITECT OR DESIGkFR <br /> MAIL A�DfiE55 CITY 21P PNONE <br /> � MAIL AODRE55 CITV ZIP PHONE LICEIISE I <br /> GENEijALCANTfiAGTOR SI GN II 237J8 <br /> Signage, Inc. <br /> MEGHANICALCONTPACTOR <br /> MAIL A��PE55 CIiY ZIP PHONE L:GENSE 1 <br /> PLUMBING CANTPALIOR <br /> MAILAODRE55 CITY ZIP PHONE UCENSEI <br /> cu55oFwoaK IGN ❑GARhGE <br /> ❑NEW ❑ADDITION �ALTERATION ❑R[PAIR ❑DEMOLI710N ❑FENCE � __ <br /> YFLUATION JF WOFK <br /> s 2500. 00 <br /> DESCFINE WORK <br /> Erect non-illuminated sign <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A • <br /> IEGALDESCRIFTIONOFPflOPERTYISHOW BELOY/ORATfAGNFOURCAP�ES) PL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT e�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO�IVE AUTHORITY TO ViOLATE OR CANCELTHE PRO- <br /> VISIONS OF ANY OTHEA STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR TH RMANCE OF CONSTRUCTION. <br /> sicr+nT ,-o c r+rar uTyoai o:�er�r 4/22�81 <br /> J0�ADDRE55 w � � <br /> 5606 Evergreen Way X - -- <br /> PLUMBING MEC NICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> FEE <br /> AIR COND.UNITS—H.P.EA. <br /> WATER CLOSET(TOILEi) <br /> REFRIGEflATION UNITS—H.P:EA <br /> BATHTUB <br /> BOILERS—H.P.EA. — <br /> LAVATORY(WASH DASIN) <br /> GAS FIRLD A.C.UNITS—TONNAGE EA. <br /> SHOVJER <br /> FORCED AIR SYSTEMS—B.T.U. M EA. <br /> KITCHEN S!NK&DISP. �A <br /> � DISHWASHER WFLL NEATERS—O.T.U. � <br /> UNIT HEATEFS—8 T.U. M <br /> . LAUhDRY TRAY <br /> � EVAPORATIVE COOLEi75 <br /> CLOTHES WASHER CLOTHES DRYERS - <br /> WATER HEATER <br /> VENTILATION FAN <br /> URINAL RANGE HOOD <br /> ORINKING FOUNTAI� C.F.M. <br /> AIR HANDLING UNI7— <br /> FLOOR DRAIN STOVE <br /> , VACUl1M BREFKERS <br /> METAL FIREPLA!:E 8 CHIMNEY . <br /> ROOf�DFAINS—RAINLEA�EFS _ <br /> SINK(SERVICE—BAR.6TC.) <br /> SUBTOTAL S <br /> SUB70TAL S <br /> PEHMIT S PEPMIT__ <br /> TOTALFEE S TO7ALFEE S <br /> pLAN CHECK FEE <br /> SI�E YARD SETBACK STREET SETOACK REAR YARD SEiBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> i <br /> USE ZONE lOT AREA VACANT SITE FEES VALUAIION FEE _ <br /> l]YES �NO <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF�WEU_ING UNITS -- <br /> BUILDING g2500.00 12 CO <br /> SIZE OF BLDG. N0.OF STORIES MN(.OCC.LOAD <br /> PLUM�ING � <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPpOVALS <br /> gY DATE OTHER <br /> t. ENVIRONMENTALCHECKLIST PENALTV U.B.C. <br /> SEC.303(a) <br /> 2. BUIL�VJGPLANS T�TA� 12 OO <br /> 3. FIRE HYDRANT <br /> PEHMIT VALIOATION <br /> 4. FIRE PROTECTION SYSiEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS fY�O(U�R PEqRMIT <br /> 5. GRADING � O L 5 `', 'J I L. Q O �— r" <br /> l.L� <br /> 6. DRA�NAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT T <br /> B. HEALTH DISTRICT � ., i' .���1. I FT � <br /> APPLICATION ACC.BY PIANS CHECKED 8Y APPR.FOfl ISSUANCE BY <br /> . ," YC U <br /> RF BAB <br /> % 7 .irz tl I <br /> " ADDRESS FILE <br />