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.4PPLICATION FOR e�� <br />Ihe Everyreen � O���� 1 I�� I O n <br />cin oF 11 <br />everett PEHNI�1' <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 259�8745 <br />EVERETT.WA98Z01 ❑�OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N <br />Cltt ZIP PNONE <br />mnn nuowtss <br />ON'N[N C i . . _ � . . . . .. <br />ULY <br />ARCIIII[CTORUfLCrv[x ...- r <br />" ��iA. �dT �X"1,[G� 1S2'cr ��I -U'1�'a� �-� <br />�lu.t0 �-•Ivai /r � c� zr rHo F <br />GIN[RGLCONLR�Q00. hqILAO�AFSS <br />❑iY LIP P110`1E IICENSF / <br />MICHAtiIUICOrviRACl00. M�ILA��F65 <br />_._ ,,,.,.�. LiC[NSf � <br />CLASS Of KONK <br />❑NEW ❑ADDITION ❑A�TERATION ❑RFPAIR ❑OE.^AOLITION ❑FENCE IGN ❑GARAGE BUILDING RELOCATION <br />tlALUAllO�' Of NOMN <br />�UOIi'� <br />DISC0.1111 WORK _ <br />rnovosm usF or nuuoitic <br />IFGM OlSCNIPIIOv Of PNOYLRlT 15110W N B[LON' OR ARACN fOL'0. COPI[51 <br />l01 � BlOCS � Of <br />PLUMBING <br />NO. TYPE OF FIXiI <br />WATER ClOSET (TOL�ETI <br />OATHIUB <br />IAVATORY(WASH OASIN� <br />SHOWER <br />KI7CHEN SINK 6 UISP <br />f::iWASHER <br />LAUN�RVTRAY <br />CLOiHES WASHER <br />N'ATEF HEAT[H <br />UNINAI <br />ORINKINL FOUNTAIN <br />FIOOR �RAIN <br />VANUM OREAKERS <br />HOOF ORAINS—RAINLEA01 <br />SINK ISfRViCE—OAR. ETCI <br />SUB <br />ZpNE <br />OF <br />lOT AkEA <br />APPRDVALS <br />1 EN\'IRONMENTAL CHECK LIST <br />2. pU1LDING PlANS <br />J iB[ HYDRANi <br />1 FIRf PROTECTION SYSTEM <br />5 GR�DINGIt%UVATIONBClFA0.1NGIGPUtlNING <br />b DRAINAGE <br />L fNVIRONMENTAL IMPACT STATFMENT <br />B. HfAVM01:TRICT <br />1vn i[�110N ACC. DY PL�NS��ECK�t <br />q.7.i9 <br />I HEREBY CERTIFY TFIAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORD�NANCE$ GOVERNING THIS TYPE <br />OF WORK WILL DE COMPLIED WITIi WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THF. PERFORMANCE OF CONSTRUCTION. <br />$IGNATURE Of CONTRACTOR OR AUTI10R12ED AGENT DATE <br />,�'�i � )_� � �4 � <br />TYPE Of EQUIPMENT FEE <br />FEE NO. <br />AIR CONO UNIT:-N P EA <br />R[FRICEHATION UNRS-H P. EA <br />11011ER5-H P EA <br />GAS FIRED AC. UNITS-TONNAGf EA <br />FONCED AIR SY57[M115-B T U� M EA <br />ws�l N{ATFF$—OTU. M <br />UNI7 HEATER$—�T V <br />HOOD <br />— CF <br />PFRMIT s I <br />s <br />� fCK FEE <br />YARO SCTOACR PIAN CN[CA NUMOER I RKEIPT NO. <br />FfE <br />VACANT SITE <br />DYES CNO <br />NO OG DWfL <br />9Y � �ATF <br />F[ES <br />OUILDING SZC�LYJ•� <br />�� <br />PLVM�ING <br />MECHANIUL � <br />07NFR <br />U.6 C. <br />PENAtTY SEC.lO',al <br />TOTAI <br />PEIIMIi VALIOAiION <br />WHEN PROPEHLY WLI�ATED (IN THIS SPACEI TMIS IS YOUR PERMIT <br />s�u� -ro � r��- o� <br />P�.w�-� P�o�=�'r`�- No <br />��R-ds�-P�� fiUER- (�uP��.�c. <br />� W � -t--"TG+"� l �TL�(J <br />(hcEvcrgme�� �p�STRUCTION �- � � <br />CITY OF <br />ev�rett PERMIT PERMIT N0. ZO177 <br />CITY HALL 259�87A5 <br />EVERET�.WA 98201 C� COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />UWNER MAILAD�PE55 CIiY ZIV �'NONE <br />Evergreen Way Veterinary Hospital 6815 Evergreen Way <br />qqCNIiEGi0RDE51GNEF M1�AILND�BE55 CIlY 21P PHONE <br />GENEflALCUNiMGTOR MnILA00PE5S CITY ZIP FMONE UCENSE� <br />Simco Sign Corp. 2719 Maple Everett 96201 252-0086 <br />MkCNANICAL GONiFACTOF MAII AOORE55 CITY ZIP PN@1E IICENSE I <br />SI MC OS C272P3 <br />PLUM�ING[ONIRACiOR iAALLAD��E55 CIiY 21P PHONE LICENSEI <br />CL/ 55 OF <br />s <br />n ❑NEW ❑ADDITION ❑AITEBATION ❑REPAIR ❑DEMOLITION ❑FENCE gQ;51GN ❑GARAGE <br />woarc <br />Erect illuminated sign <br />EO USE OF BUILOING <br />LOT BLOGK_�F <br />�°"°°�i`�15 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OI <br />URINAL <br />ORINKING <br />� <br />A <br />SIDF YARD SETBACK STREET <br />USE ZONE LOT AR <br />TVPE OF CONST. ��P <br />SIZE OF BLDG. N0. OF <br />t. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />:. FIRE MVORANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRA�ING <br />6. ORAINAG[ <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CMECKED BY <br />RF <br />REPR YARD 5 <br />VACANT $ITE <br />❑YES ❑NO <br />NO.OF DWEL <br />MAX. G.C. LC <br />FIFlE SPflINKI <br />REOUIRED <br />❑YES ❑NO <br />dY f o, <br />I HEREBY CERTIFY THAT I HAVE READ AtJD EXAI�AINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINFVCES GOVERNING THIS <br />TYPE Of N'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TFiE GRANTING OF A PERMIT DOES NOT <br />PRESU ME TO GIVE AUTHOR ITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. <br />XNl.TUPE � TOP OR AUiNOP12ED AGENT � DqfE <br />.�� � � �/6 Z- <br />11R COND. UNITS— H.P. EA. <br />iEFfiIGERAiION UNI'S— H.P. EA _ <br />30ILER5 — F�.P. �. <br />jAS FIRED A.C. UNITS — TOIJNAGE EA. <br />=ORCE� AIR SVSTEh75— B.T.U. M EA. <br />NALL HEATERS — B T.U. M <br />JNIT HEATERS — B.T.U. M <br />2VAPORATIVE COOLERS <br />�LOTHES ORYERS <br />VENTILATION fAN <br />qANGEHOOD <br />AIR HANOLING UNIT — GF At <br />STOVE <br />METAL FlREPLACE & CHIMNF.Y <br />PLAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHEP <br />PENALTY <br />PLAN CFIECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />52,000. 9 00 <br />U.B.C. <br />SEC. 303 (a) <br />� � � <br />WHENPPOPERLYVALIDATED�1NTHISSPACE)THISIS'/OURPEqRM(IT� ' <br />Sign to be all on'privat�'�p�bpe�rty. � <br />No projection over Public Right-of- �� <br />Way permitted. . _ ,-���-• � <br />'.�C_ ii � <br />APPR. FOR ISSUANCE BY ' ' ' � � � <br />. .. ... . .. � <br />LNC <br />� j I OJ J !. <br />ADDRESS FILE <br />