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the��'c�veoF �'ONSTRUCTiOId �. <br />�verett P���S� PERMIT NO.OgZZO <br />CITY HALL 259�8745 <br />EVERETT,VlA 98201 ❑ COMBINATION � BUILDING ❑ MFCHANICAL ❑ PLUMCiING <br />OYINER MAILAODNLSS CITY ZIP PMONE <br />Everett O.K. Tire 6624 Evergreen Way Everett <br />ARGHIiECT OR fJE51GllER M�IL AODFESS CITV ZIP PHONE <br />GEGEFiA: CANTRACTOR M9ILADDRE55 CIiY ZIP PMONE UGENSE Y <br />Beriy Neon Co. Inc. 21027 61st WEst Lynnwood 98036 776-8835 <br />MECHANICAL WNiRAQOR IdAIL AD�RE55 CITY 21P PHONE LICENS[ / <br />PLUMOING CONTflACiOR MAIL ADDRESS CRY ZIP PHONE LICEIvSE 1 <br />SS OF WOBK <br />❑NEW <br />.UA710N OF WOflK <br />$ 680.00 <br />erect illi <br />PFOPOSED USE OF �UILDING <br />6624 �vex <br />PLUMBING <br />NO. <br />WATCR CLI <br />BATHTUO <br />LAVATORY <br />❑ADDITION ❑AL7EFUQION ❑REPAIR ❑DEMOLITION ❑FENCE }�},51GN ❑GARAGE <br />n <br />I HEFiEBY CEf�11FY THAT I HAVE READ 1ND EXAMINED THIS AP- <br />pELOW OFATIACH FWRLOPIES� PLICA�i ION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK �VILI BE COMPLIED WITH WHETHER SPECIFIED <br />HEREI;� OR NOT. THE G9ANTING OF A PERti11T DOES NOT <br />PRE�UME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO <br />VI;IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />GONST UCTION OR THE PE RMAN E OF CONSTRUCTION. <br />SIGNF 1Uf_ OF WNiRAC� R,f'R AUiFO� IZE AGENT �AiE <br />X �'��1. S .>`-�% <br />MECHANICAL <br />TYPE OF FIXTURE OR <br />KITCHEN SINK i OISP. <br />OISHWASHER <br />LAUNDRYTRAI' <br />CIJTHES WASHER <br />RHTER HEATEF <br />URINAL <br />DRINKING FOU��TAIN <br />FLOOR DRP,IN <br />VACUUM BREAKEflS <br />fl00F DRHINS — RAINLEAI)EflS <br />SINK (SERVICE — BAR. EfC.� <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />RD SETBACK I STRF.ETSETBACK <br />USE ZONE <br />SIZE OF <br />�I9E ZONE <br />LO7 AREA <br />GfiOUP <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIi70NMENTAL IMPACT STATEMEN7 <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />RF <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIPED A.C. UNITS — TOIJNAGE EA. <br />FORCED AIR SYSTEMS — BS.U. M <br />WALL HEATEPS — B.T.U. 1.1 <br />UNIT HEATER� — B.T.U. A1 <br />EVAPORATIVE COOLERS <br />CLOTHES DPYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDUNG UNIT — C. <br />STOVt <br />METAL FIREPLACE 8 CHIIdNEY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REAR YARD SETBACK IPLAN CHECK <br />❑YES ❑NO <br />NO.OF DWELLING UNI7S <br />APPR. fOR ISSUANCE BY <br />BAB <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />PENALTY <br />FEE <br />� 680.00 <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />FEE <br />flECEIPT NO. <br />vw— <br />� I 6 I 00 <br />f VALIDATION <br />PROPERLY VALIDATED (IN THIS S�CE� T i IS IS YOU`q RER�111�1 f1 O 1 <br />� � J U 0 V V <br />C--� <br />� �,, ..._iG� <br />. . t , l�� <br />ADURFSS FILE <br />- ; '''.Y � I <br />