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.. �1 <br /> � <br /> 111eE`CI�YOF COIWST�UCTI�'`N � � <br /> everett PERMIT PERMIT NO. 111OZ <br /> CITY HFLL 259�Wd5 <br /> eveaerr.wa sezoi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEH MPILAOOAE55 CRY ZIP PMONE <br /> The Piano Gallery 5615 Everqreen Wav Everett 3 <br /> ARCNILECTOPDESIGNEP MAILqODFE55 CIiY ZIP PhONE <br /> GENEMLCONiPACiOR MAILAODRE55 G�TY zIP PHONE UCENSE/ <br /> Simcu Sign Co. 2719 Maple Everett 98206 252-0086 <br /> IAECHANICI�LCANTRACiOA MAILADORE55 CITV ZIP PNONE UCENSE� <br /> FWA1pINGCCNiRACfOR MAILF��RE55 GITY ZIP PNONE UCENSE/ <br /> � <br /> � L1A550F WOPK <br /> ❑NEW ❑ADDITIOIJ ❑ALTEMTION ❑REPAIR ❑DEMOUTION ❑FENCE �,SIGN ❑GARAGE <br /> VALUAiION OF WOFK <br /> S 2900.00 <br /> OESCRIBE WOfiK <br /> install illuminated si n , <br /> PFOPOSED U'+[OP OpILDING <br /> I HEREBY CERTIFY THHT I HAVE READ F:.aD eXAMINED THIS AP- <br /> IEGNL0E5CRIPiIONOFPROPEPiY15MOWBELOWORATTFCHFOUFCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAK'S AND ORDINANCES GOVERNING THIS <br /> �or e�oc�_oF TYPE OF WORK WILL BF. COMPLIED W!TH WHETHER SPECIPIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRCSUME TO GIVE AUTHORITY TO VIOLATE OR CAhCEL THE PRO� <br /> VISIONS OF OTHER STATE OR LOCAL LAW REGULATING <br /> � � CONSTRU 0 OR ERFORMANCE OF CONSTRUCTION. <br /> JOBPOORE SIGNALURE FC FACT OR iHOR12E�AGENi DAiE <br /> SG3�S' Evergreen Way X /j Z <br /> PLUMBING MEC L <br /> NO. i iPE OF FIXTURE OR ITEM FEE NO. TYPE O �UIPMENT FEE <br /> WATER CLOSET(TOI�ET) I AIR CONO.UNITS—H P.[A. <br /> QATHTUB PEFPIGERATION UNITS—H.P.EA <br /> �AVATORY IWASM BASINI �OILERS—H P.EA. <br /> SN05VER GHS FIRED AC.UNITS—TON��AGE EA. <br /> KITCMEN SINK 8 DISP. FORCED AIR SYSTEMS—B TL. M EA, <br /> � DISHWASYER ' WALLHEAT[RS—B.T.U. M . <br /> LAUNORYTFLIV UNITHEATERS—B.T.U. �d <br /> CLOTHES WASNER EVAPORATIVE COOLERS <br /> WATEfl HEATER CLOTHES DRYERS <br /> UFIHAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HWD <br /> FLOOR DRAIN AIR NANOLING UNIT— GF M. <br /> VACUUM BFEAKEPS STOVE <br /> ROOF DMINS—RNMLFADERS METAL FIREPU+CE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETC.) <br /> SUBTOTAL SUB TOTAL f <br /> PERM17 S PEPMIT 5 <br /> TOTAL FEE f TOTALFEE f <br /> SIDE YARD SETBACK STREET SET9ACK REAR 1'AR�SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE , <br /> ❑YES GNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROl1P NO.OF DWELLING UNITS <br /> BUILDING a zg00. 9 �0 <br /> SIZE OF 9LDG. N0.OF STORIF.S MAX.OCC.LOAO <br /> PWMBING <br /> FIRE ZONE BASE1dENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPpOVpLS BY DATE OTHER � <br /> ' t. [NVIRONMENTALCHECKL15T PENALTV UBC <br /> SEC 303(a) <br /> 2. 9UILOING PLANS <br /> 3. FIREHYORANT TOTAL 9 OO <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PPOPEFIV VALIDATED(IN THIS SPACE)THIS IS YOUR PER1.11T <br /> 5. GRADWCa � 6 �i'( s0�D9.QQ —M��' <br /> ... 6. DRAINAGE ' ' - ' " . ' i .. 1 : �� . � � <br /> 7. ENVIRONMENTALIMPACTSTFTEMENT � ' . � <br /> B. HEAITHDISTRICT YO�U R RECEIPT� <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR I;SUANCE EV ����N K YO U <br /> P.F N V <br /> i <br /> � 1 OCT 8 Z : <br /> ADDRESSFILE . ,:_, ;j_. ;_, , <br />