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i <br /> _ , <br /> rhe£ver,�reen <br /> e�erett r f�ONS'�'RUCTlO'`I <br /> CITYMALL25y�e745 P�R61111T PERMIT NO. 1 .�43� <br /> EVERET7, Wq 9P201 ❑ COMBINA'fION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEP <br /> Vj.(jE:O FdCtOY MAI�ADDRESS CITY ZIP PHONE <br /> Y 5920 Evergreen Way Suite "E" EVerett <br /> AFCHITECT OP DESIGNEF MAIL AO�qE55 <br /> CITY ZIP PHONE <br /> P GENEHALCONTPFCTOF MAILADDRESS <br /> CITY 21P PHONE LICENSE M <br /> Berry Neon Co. Inc. 21027 61st West <br /> MECHANICP;CONTRACTOR Lynnwood 98036 776-8835 <br /> MAIL ADDqE55 GITY ZIP PHONE UGENSE/ <br /> PLUMBING CONTPACTpp BERRYN247LD <br /> MAIL A�DRESS C17Y ZIP PHONE �ICENSE Y <br /> CLASS OF WORK <br /> ❑ NEW O AD�ITION ❑ pLTERATION ❑pEPAIR ❑ DEMOLITION ❑ FENCE �SIGN ❑ WOOD STOVE/FIREPLACE INSERT r• <br /> VAIUATION OF WORK <br /> 5 1380.00 <br /> OESCRIBE WORK - <br /> erect illuminated sign <br /> PROPOSEO USE OF BUIIDING <br /> I HEREBY CERTIFY l HAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPTION OF PqOPERTY�SHOW BEIOW OR ATTACM FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ��T_BLOCK�pF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STpTE OR <br /> LOCAL LAW REGULAT G CONSTRUCTION OR THE <br /> � JOBADOHE55 PER qRMANCE OF CO RUCTI <br /> SIGN UfIE OF CONT OR OR R12ED NT � DATE <br /> 5920 Evergreen Way Suite "E" k � L� � ��8 <br /> PLUMBING <br /> MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> WATER CLOSET(701LEn FEE <br /> AIR COND. UNITS — H.P. EA. <br /> BATH7UB REFRIGERA710N UNITS — <br /> LAVATpRY(WASH BASIN� H.P. EA. <br /> BOILERS — H.P. EA. <br /> SHOWER <br /> GAS FIRED A.C.UNITS — TONNAGE EA. <br /> KITCHEN SINK L DISP. FORCED AIR SYS7EM5 — <br /> DISHWASHER B.T.U. M EA. <br /> WALL HEATEqS — B.T.U. M <br /> LAUNDFYTRAY UNIT HEATERS — B.T.U. ry� <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> UFINAL VENTILATION FAN <br /> DR�hKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— <br /> � VACUUM BREAKERS QF.M. <br /> � STOVE — WOOD <br /> flOOF OPAINS— RAIN�EADERS METAL FIREPLqCE 8 CHIMNEY <br /> SINK(SEFVICE — BAR, ETC.) FIREPLACE INSER7 <br /> — HEAT PUMP <br /> SUB TOTAL i' SUB 70TAL 5 <br /> PEHMI7 S PEqMIT 5 <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> SI�E YARD SETBACK STREET SE78ACK REAR YARD SETBACK PLqN CHECK NUMBER <br /> PLAN CHECK FEE <br /> USE ZONE LO7 AqEq � VACAN7 SITE FEE RECEIPT NO. <br /> � �.YES .NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GFOUP NO. OF DWELLING UNITS <br /> SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOA� 3UILDING 5 13SO.00 <br /> 9 00 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS -- -- <br /> FE�UIRED MECHANICAL <br /> :-.YES ��NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST -- "� <br /> 2.BUIL�ING PL.7�NS PENALTY U.B.0 <br /> SEC. 303�a� <br /> 3.FIREHVDRAN7 TOTAL 9 00 <br /> 4.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5.GfiA�ING WHEN PROPERLY VALIDATED(IN THI&9PppE) 7HIS�Sn'�1{�P���T_ � <br /> 6.ORAINAGE � � - J i <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> 1 e.HEALTH DISTRICT ... r. M f <br /> APPUCATION ACC. BY PLANS CHECKED BY APPq. FOR ISSUANCE Bv - � ��- � �-{ <br /> RF � , � � �� <br /> _ � i <br /> . . ,. i <br /> ADDRE55 FILE <br />