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the Evergmen P� �� CT ���� I� A' <br />CITY OF `0 J � � � <br />eve�ett pE���T PERiVIIT NO.OH594 <br />CITY HALL 259�B7A5 <br />6lcRETf.WA 90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEfl MAII�DDRE55 CITV ZIP PHOIlE <br />Everett Suzuki 6408 Evergreen Way Everett 98204 <br />ARCHRECTOR�ESIGNGR I.IAILAOOPESS CIiY ZIP PHONE <br />GENERALCONTPACTOR MMLAODRESS CITY ZIP PMONE LICENSEI <br />Berry Neon Co. Inc. 21027 61st West Lynnwood 98036 776-8835 <br />MECHANICALCANTRACTOF MAILADCFE55 CIiY ZIP PHONE LICENSEI <br />BE RR YN 247LD <br />PLUMBIhGCANTRACTOR lAAILAODFE55 CITV ZIP PHONE LICEI:SE� <br />CLASS OF WORK <br />❑NEW <br />Vi�LUATION OF Y/ORK <br />§ 450.�� <br />❑ADGI710N ❑ALTERATION I.�REPAIR ❑DEMOLITION ❑FENCE }�SIGN ❑GARAGE <br />erect illuminated sign <br />PROPOSED USE OF BOIL�ING <br />commercial <br />LEGA! DESCRIPTION OF PROPERTY (SHOV! DELOW OR ATTACH fOl�p COPIES) <br />JOB /.ODRE55 <br />6408 Evergreen W <br />PLUMBING <br />BATHTUB <br />LAVATORY (VJASH I <br />SHOWER <br />KITCHEN SINK 8 D <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DFINKING FOUNTF <br />FLOOR URAIN <br />VACUUM BREAYEP <br />SINK <br />SIDE YARD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />FIRE ZONE <br />RE OR ITEM <br />— RAINLEADERS <br />— 9AR FTC 1 <br />TOTALFEE <br />STREET S[TBACK <br />LOT AREA <br />OCCUPANCY GRC <br />NO. OF STORIES <br />1. ENVIf10NMENTAL(:HECKLIST <br />2. BUILOING Pi 4N5 <br />3. FIFE HYDRANT <br />4. FIfiE PROTECTION SYSTEM _ <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. IIEA�TH DISTHICT <br />APPLICATION nCC. 0V PLANS CHECKEU BY <br />RB <br />FEE <br />REAR YARD SETBACK <br />VACAN7 SITE <br />❑YES ❑NO <br />NO. OF DWELLING UNITS <br />L•l1 <br />APPP. FOR ISSUANCE BY <br />BAB=LNC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISICNS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT <br />PRESUME Tn GIVE AU7 HORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO�J OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiI�PE - GONTPFCTOp Ori AU MOPIZED AGEHi DATE <br />x•�� ��,,.. <br />). UNITS — H.P. EA. <br />9ATION UNITS — H.P. I <br />— H.P. EA. <br />!D A.C. UNITS — TONN <br />AIR SYSTLMS — B.T.U. <br />ATERS — B T.U. <br />U[RS — B.T.U. <br />VENTILATION FAN <br />AIR HANDLING UNIT — <br />METAL FIFEPLACE & CHIh1NEY <br />MECHANICAL <br />PENALTY <br />M <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />pLAN C <br />FEE <br />VALUATION <br />$ 450.00 <br />U.B C. <br />SEC. 305 (a) <br />FEE <br />FEE <br />RECEIPT N0. <br />FEE <br />� �� <br />PERMIT VALIDATION <br />WHEN PFOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />o�os g005.00�1 <br />� � <br />�p� <br />�� ; V: P_C[:IPI <br />;'��,'��'I� }`�:��) <br />c <br />