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U�e F_ ��erqrecn %� O A' CT � U e _T' �� . <br />CITY OF e�\.7 Y v . <br />ever�ett PER�IIT PERMIT NO. 09210 <br />CITY HALL 259�87A5 <br />EVERETf. WA 90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDFE55 CITY ZIP PHONE <br />Everett 0 K Tire 6624 Evergreen Wav Everett <br />ARGHRECTOFlDESIGNER MAILADDRESS CITY ZIP PNONE <br />GENERAL CONTRACiOP MAI� AODRE55 CITY ZIP PHONE UCEi�SE 1 <br />Berry Neon Co. Inc. 21027 61st WEst Lynnwood 98036 �76-8835 <br />h1ECHANICAL fANTRAGTOF MML ADOFE55 QTY 21P PHONE LICENSE I <br />PWM�INGCONTRACWR MAILADORESS CITY ZIP PNONE LICENSE! <br />CLA55OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ]�y,SIGN ❑GARAGE <br />VALUAiION OF WORK <br />s 680.00 <br />erect ill <br />ISEO USE OF BUILOINi <br />(SHOW <br />LOT BLOCK_OF <br />JO�ADORESS <br />6624 Everureen Wa� <br />PL'JMBING <br />NO. TYPE OF FIXTI <br />WATEfl CLOSET (TOILET) <br />CIOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTI <br />FLOOR DRAIN <br />VACUUM BREAKEF <br />ROOF DRAINS — F <br />SINK ISERVICE — I <br />SIDE YARD SET9ACK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />STPEET <br />N0. OF STORIES <br />ITEM <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDINGPLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION f':uTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IIAPACT STATEAIENT <br />8. HEALTH DISTRICT <br />APPLICATION ACQ DY PLANS CHECKED BY <br />RF <br />PEAR YARD SETBACK <br />❑YES GNO <br />NO. OF DWELLING UNI75 <br />APPq.FORISSUANCEOY <br />BAB <br />I HEREBY CERTIFY THAT I HAVE RE�D AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK \VILL BE COMPIIED WITH WHETHER SPECIFIED <br />HEREIN OR NO�f. THE GRANTING OF A PERMIT DOES NOT <br />PHESUME TO GIVe AUTFIORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONST UCTION OR THE PE RMA E OF CONSTRUCTION. <br />SIGNf UF � OF GINTFiAC,�R,pR AUTHO 17[ f.GENi DFTE <br />X G�..-'wl - 5�' �-�'1_ <br />MECHANICAL <br />NO. TYPE OF E�UIPMcNT FEET <br />AIR COND. UNITS — H.P. EA. I <br />REFRIGERATION UNITS — H F EA I <br />—� ILEflS — H.i'. CA. � � __ <br />GAS FIREU AC. UIJITS—TONNAGE EA. <br />FORCED AIR SYS7EMS — B.T.U. IA EA. <br />WALL HEATEfiS — B.T.LL 61 <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COGLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — :..P.��. <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />� PERMIT S <br />TOTALFEE 5 _ <br />PLAN CHECK pUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING � 680.00 � <br />PIUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAL <br />U.B.C. <br />SEQ 9031a) <br />PROPERLY VALIDATED (IN THIS S�C�E) T1I IS IS YOUfj RERMItf1 1 O 1 <br />j ._ � JUO U <br />� <br />� �. . .�. �.. ��. . i I � <br />, . . '� _ t�o <br />- �, '�.�'.Y E I <br />