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CITY OP � V V� V I 1 7 U L/ I I�j _� � <br />everett PERMIT pERMIT N0. 1I41.3 <br />CITY HALL 259�8745 <br />EVERETf, WA 98201 ❑ COM8INATION �t BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIIADDf1E55 CIiV ZIP AMONE <br />Trophies & Awnr�ds Unlimited 6124 Everareen Wav Everett ^S 44 0 <br />AACMRECTORDESIGNER fAAILRDDPESS ��ry Z�p <br />PHONE <br />GENEflAL CpNTRACTOF Mhl� A�DRESS GTY ZIP PMONE IICENSE I <br />Simco Sign Co. P,O. Box 68 Everett <br />98206 252-0086 <br />UECMANICAL CqNTRACTOR MAI� AODFE55 CITY ZIP PHOHE �IGENSE I <br />� <br />PLUMBINGLONTRACfOR IAAI�ADpFE55 CITY 21P PHONE LIGENSEI <br />Y <br />L <br />� <br />ONEW ❑qDDITION ❑ALTERA710N ❑qEPAIR rJDEfAOU'TION ❑FENCE �IGN ❑GARAGE <br />s 350.00 <br />OESCRIBE WORK <br />install illuminated <br />PROPOSED U�; OF 6UILDING <br />LEGA� DESCRIPTION OF PROPEPTY (SHOW BELOW OF <br />LOi___BLOC�OF <br />JOB ADORESJ <br />6124 Evergreen Wny <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILE� <br />BATHTl16 <br />U+VATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />L4UNDRY TRAV <br />CLOTHES WASH'R <br />WATER HEATER � <br />URINAL <br />DRINKING FOUNTAIN <br />ROOF DRAINS — <br />SINK lSFRVIf'F _ <br />SIDE V�RD SETBACK STR <br />USEZONE LOT <br />NPE OF CONST. OCC <br />SIZE OF 9LDG. No <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />FOURC/`olES) PLICATION AND KNOW THE SAME TO BE TFiUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVER�JING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TU GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER .$,TATE OR LOCAL LAW REGULATING <br />CONSTFiUCTION OR THE"PEpFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTqACTpq OF Al{iHORIZED AGENT DATE <br />X , �- (�',r /�!/9 <br />MECHC�NICAL <br />FEE <br />SETBACK qEAR YARD SETBACK PLAN <br />A VACAN7 SI7E <br />❑YES ❑NO <br />OF STORIES <br />+. ENVIRONMEMTALCHECKLIS7 <br />7. BUILDING PLANS <br />9. FIRE HYDRANT <br />J FIFE PFOTECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACiSTATEMENT <br />0. HEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED BY <br />RF <br />APPR.FORISSUANCEDV <br />NV <br />TYPE OF EOUIPMENT <br />AIP COND. UNITS — H.P. EA. <br />REFPIGERATION UNITS — H.P. EA <br />BOILERS — HP. EA. <br />GAS FIREU A.C. UN115 — TONNAGE EA. <br />FORCED AIR SVSTLMS — B T.U. M <br />WALL HEATEflS — B.T.U. �,� <br />UNIT HEAiERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLUTHES DRYERS <br />VENTIL4TION FAN <br />RHNGEHOOD <br />BilILOiNG <br />PLUM6ING <br />MECHANICAL <br />n <br />TOTAL <br />FEE B_;,ciPT NO. <br />VALUATION FEE <br />$ 350.00 <br />U.B.C. <br />SEC. 303 (a) <br />� 1 � <br />PpOPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PEqMIT <br />2331 SOQ3.OQ ---r' °' <br />�' <br />YO.0 R RECEIPT i <br />� THANK Y.OU <br />ADDRE55 FILE <br />IR�+83 <br />� <br />� <br />� I <br />�� <br />