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!hc Lrer,Cra.en <br />CITY OF <br />everet:t <br />CITY HALL 259�8745 <br />E'/ERETT, WA 98201 <br />r -�ONSTRUCTIOP' <br />PERI�IIT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT N0. 15 G 7� <br />❑ PLUMBING <br />OWNEF MAILAp�RE55 CITV ZIP PHONE <br />Armed Forces REcruiting 5920 Evergreen Way Everett <br />ARCMIiELf OR pE51GNl:fl IdAIL A�ORE55 GTY 21P PM09E <br />GENERAL CONTRACTUF MAIL AOORE55 CIiY ZIP PHONE LICENSE � <br />Berry Neon Inc. P.O. Box 5269 Lynnwood 98046 776-8835 <br />MECHANICAL CONTP.ACfOii MAIL AODRE55 CITY ZIP PMONE LILENSE / <br />BERRYN*247LD <br />PLUM6ING CONTflACTOA MAIL AO�flESS dTY ZIP PHONE LICENSE / <br />LLA55 OF WORK <br />❑ NEW ❑ AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE 1� SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALl1A710N OF WORK <br />S 12%5 <br />Znstall illuminated sign <br />L0T_BLOCK_OF_ <br />PLUMBING <br />FIRE <br />Way <br />I HERE@Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />OflATfACHPGUFCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE �F WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEfiEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUM E TO GIVE AUTHORITY TO VIOLATC <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGIlFTURE O� WNTRACTOR ORAl1SHORREO AGENT DAiE <br />TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILEn <br />L1VA70RY(WASH BASIN) <br />SH^WER <br />KITCHEN SINK 8 DISf�. <br />DISHWASHEF <br />LAUNORYTR�Y <br />CLO7HES WASHER <br />WATER hEA7ER <br />IIRINAL <br />DflINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM B(7EAKERS <br />ROOF DRAINS - RAINLEAOERS <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />APPROVALS <br />1. ENVIRONMEN7AL CHECK LIS7 <br />2. BUILOING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROTECTION S`/STEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMEN7ALIMPACTSTATEr1ENT <br />B. HEALTN �ISTRICT <br />FEE <br />1 <br />S <br />t <br />:.VES :�:NO <br />':YES '_:NO <br />NV/LC <br />NO. TYPE OF EOUIPMENT <br />P.IR COND. UNITS — H.P. EA. <br />REFRIGERAT�ION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.G. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVFRS <br />VENTILATION FAN <br />RAMGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WDOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUMP <br />SUB 70TAL f <br />PERMIT S <br />TOTAL FEE E <br />C NUMBER PLAN Ci <br />FEE I <br />FEES VAWA710N � <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />$ 1275 <br />U.B.C. <br />SEC. 303 <br />FEE <br />RECEIPT NO. <br />FEE <br />� �� <br />PEHMI7 VALIDATION <br />WHEN PFOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUfl.,PERMIT__M <br />! ' '7 <br />. . . . �, <br />� <br />� <br />9Y �� <br />ADDRESS FILE <br />z <br />0 <br />� <br />H <br />� <br />m <br />�� <br />.. -i <br />Nm <br />0 <br />cv <br />mo <br />n <br />-� c <br />C 3 <br />-� z <br />2 -i <br />m <br />.. <br />q 2 <br />C <br />D —1 <br />rx <br />�.-� .-� <br />--I � <br />< <br />O A <br />T m <br />3 <br />�m <br />S <br />m �-+ <br />N <br />O <br />or <br />c� m <br />C N <br />3 N <br />m <br />z c� <br />-i r <br />. m <br />a <br />A <br />--I <br />2 <br />n <br />z <br />--� <br />x <br />.. <br />� <br />z <br />O <br />--I <br />n <br />m <br />� <br />