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flie Ercrgrecri <br />CITY OF <br />ever�tt <br />CITY HALL 259�87A5 <br />EVERETT. WA 9D201 <br />C^'VS�RUCTION <br />PERMIT pERMIT NO.OS283 <br />❑ COMBINATION :E7� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIVNEP MAIL AppIlESS CIiY ZIP PHONE <br />Everett 95Hjri�S Shop 6500 Evergreen Way <br />ApCHRECT OR �ESIGNER MAIL ADORESS CITV ZIP PHONE <br />GENEfiFLWNTPACiOR MAILqDDPESS CIiY ZIP pHONE LICENSE� <br />Simco Sign Corp. 2719 Afaple 98201 252-0086 <br />MECIIANICALLONTRFCTOR MFILA�DRE55 QTY ZIP PHONE LICENSEI <br />SI MC OS C272 P3 <br />PW6IBINGCONTRACiOR MAILADDRE55 CIiV Z�P pMONE LICENSEI <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE }�,51GN ❑GARAGE <br />VALUATION OF WOFK <br />t 18��.��. <br />oEscaiae woaK <br />erect illuminated sign <br />PROPOSED USE OF �UILDING <br />LEGAL OESCRIPiION OF PpOPEFTY �SMOW �ELOW OR ATfAGH FOUR <br />�or oia;�_oF <br />doe nooeess <br />6500 Evergreen Way <br />PLUMBING <br />N0. TYPE OF FIXTUHE OR ITENI <br />WA7EH CLGSET (TOREf) <br />BATHTUB <br />LAVATOHV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHEF <br />LAUNDRYTRAY <br />CLOTHE: WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FGUNTAIN <br />FLOOR DRAIN <br />VACUUId BREAKERS <br />ROOFDRAINS—flAINLEADERS I <br />SINK ISERVICE — 6AR, ETC.) <br />SUBTOTAL <br />SIDE YARD SETBACK <br />TYPE OF <br />STREET SETBACK <br />LOT AREA <br />BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. F:RE �1YDRANT <br />4. FIRE PROTEG710N S'/STEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMEN7 <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PlANS CHECKED BY <br />RB <br />REAR YARD 5@T�ACK <br />VACANT SITE <br />❑YE$ ❑NO <br />N0. OF DWELLING UNITS <br />MAX.pCQ LOAD <br />APPR. FOR ISSUANCE BY <br />HAB <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIfJED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AtiD CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINa THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIQN OR THE PERFORMANCE OF CON TRUCTION. <br />SIGNHTUfiE OF �`i0R OR AUiMORIZED AGENT DATE <br />X":.%%'�i �,�,-�---�� `7 / L!/� <br />NO. 1"YPE OF EQUIPMENT <br />AIR COND. UNI15 — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A C. UNITS — TONNAGE E� <br />PORCED AIF SYSTEMS — B,T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEA; ERS — B.T.U. <br />fVAPORATIVE COOLERS <br />FAN <br />AIR <br />PLAN CHECK NUMBER <br />FEES <br />BUILDING <br />PLUMBING <br />MFCHANICAL <br />OTHER <br />PENALTY <br />M EA. <br />� <br />TOTAL <br />MIT <br />4L FEE <br />ru, <br />FEE <br />VALUATIC <br />� 1800. <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />��� <br />TOTAL I I 9 I Q 0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUP PERMIT <br />�8►z �oo9.aor-- � <br />N <br />1''`'J � l;�Cr'lPT o <br />i � 1'����:�� ��CU <br />I G sEP o 0 <br />ADDRESS FILE <br />