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die Ever�rcen <br />CITYOF � �ONSTRUCTI N` � <br />ev�rett PERMIT p�RMIT NO. 0�2�2 <br />CITY HALL 259�87•15 <br />EVERETf, WA 90201 ❑ COMBINATION �xI BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O1YN[R MFiI, q�p{iE55 GiTY ZIP PHONE <br />Bruce Olson 6928 Evergreen [aay <br />ARCN11ECi OR 0651GNLR HlJL ADCIRE55 G11Y ZIP PHONE <br />GENERnL COKiRnGTO� IdNL AD�eE55 CITY ZIP PHONE IICE�ISE / <br />Meyer Sign Co. 512� Minor Ave. Seattle 98109 <br />A![C�iAtlICAICONTt1FCi0R lAAILADOFCSi CRY LP PMONE LICENSE� <br />PLUfAOR�GGONIRAGTOF lINLADORE55 CItV ZIP PHOIIE LICENS[� <br />CLASS OF Y/Oflh <br />❑NEW ❑ADUITION ❑AL7ERATION ❑REPAIF ❑DEMOLITION ❑FENCE ❑SIfiN ❑GARAGE <br />YdLUFiION OF Y:ORK <br />� Z�J0.0� <br />�ESCRipE Y:ORK <br />erect illuminated sign <br />LCG4l OESGRiFiION OF P1i0r�Riv (SHOv! <br />lOi OLIX;N_01 _ <br />:cu:.r,cr=.;s <br />6928 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />KITCH[N SINK 8 DISP. <br />DISHWASHER <br />L1UN07YTPAY <br />CLU i h ES VJASHER <br />Y!N[R HEATER <br />UFINAt <br />D31NKiNG FOUNTAIN <br />F1007 DRPIN <br />VACUUI.I�REAKERS <br />f700F DRAINS — R�INLFA[ <br />SINK ISERVICE — �A(i. ETC <br />SIDEP iAPD SEiBACK <br />USE ZONE <br />TYPE OF CONSi <br />STt7EET 5[TL�nCK <br />LOT AREA <br />OCCUPANC GROUP <br />N0. OF STORIES <br />FIRE ZONE CASEMENT <br />APPROVALS <br />t. LIJVIRONMENTA: CHECK LIST <br />2. 6U ILD W G PLANS <br />3. FIRE HYDRANT <br />�. FtRE PROTEC710N SYSTEM <br />5. GRADING <br />Fi DRFIN�GE <br />7, ENVIRONMENTAL IAIPACT STATEMENT <br />B. H[ALTH DISTfiIC� <br />APPUCA710N ACC E3Y PU1tl5 CHECKED !3Y <br />REAq VAPD SET�, <br />VACANT SITE <br />CiYES GNO <br />NO. OF DWELLIN( <br />I�AX.00C LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />11VES i WC <br />dY DATE <br />APPR.FORISSUANCEOV <br />BAfl <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT. <br />ALL PROVISIUNS OF LAWS AND ORDI�ANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN GR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF AN'f OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANC OF CO 6TRUCTION. <br />S�ct+ntuFE oF CCrIrB:CtG;i-0n Aur��OP12Er Fr=Nr � o�i <br />I � � cn 2//�/80 <br />X Il�,�-•,i� . -�.<<-. ` ��li `�(n� l'�lG <br />NO. TYPE OF E�UIPMENT <br />FIP COND. UNITS— HP. EA. <br />PEFRIGERATION UNITS — H.P. EA <br />BOILEfiS — HP. EA. <br />GAS FIRED A C. UNRS — TONNAGE EA <br />FORCED AIR SYSTEMS — RT.U. M <br />l7AL�HEATERS—BT.U. hI <br />I INIT HFATFRS — R T I I 61 <br />FAN <br />STOVE <br />C,fld <br />� PERMIT <br />TOTAL FEE <br />PLAN CHECK NUh1BeH PLAIJ <br />FEE <br />FEES VALUATIO� <br />BUILDING £ 250.00 <br />U.B.C. <br />SEC.3031a) <br />RECEIPT NO. <br />ree <br />��1 <br />fOTAL —�� I 3 I00 <br />PEHM1IIT VALIDl.T�ON <br />Y/HEIJ PROPER.. % VALIJATED QN THIS SPACE) THIS IS 1'OUR PEflM1T <br />8 0;�. z$;U C 3. fl D--�1 . <br />. . . 'c'1 <br />• ' �N <br />�U;i1�f� {�EC��plp <br />� ��=ii���K �,�o u <br />�17iDRE55 rILL= <br />- 6 FEB 8 Q <br />