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�hc Livcrgrecn <br />Ciiv GF <br />�vereit <br />qTY HALL 250�8745 <br />EVEHETT, WA 90201 <br />_ ;�rv��Rucrion� <br />PERMIT <br />PERIIfiIT N0. �-6�4Z <br />❑ COMBINATION � BUILDI{JG ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAI)DRESS CITY 21P PHONE <br />National Furniture 7016 Gveryreen Way �verett 98204 <br />AflCHITECT OR OESIGNCR MFIL FOOHE55 CITY ZIP PNONE <br />GENEFA� �ON7RAGTUR MAIL ADOPE35 CITY ZIP PMONG LICENSE I <br />Berrv Neon Inc. P.O. Box 5269 Lvnnwood 98096 776-8835 <br />MECHANICA� CONiPACTOR MAIL q��RE55 CITY Z�P PHONE LICENSE N <br />BGRRYN*247LD <br />PLJIdBING CONTRACTOR MnIL pDDF. 'S pTY ZIP GMONE LICENSE x <br />❑ NEW ❑ 4DDITION ❑ A! TERA710N ❑ REPAIR ❑ DElAOLITION ❑ FENCE �CSIGN ❑ Vl000 STOVE/FIREPLACE INSER7 <br />.UATION OF WORN <br />s 1570.00 <br />Install illuminated sign <br />PROPOSE� USE OF �111L01NG <br />LOT_BLOCN_OF <br />7016�aEvergreen {Vay <br />PLUMBING <br />TYPE OF FIXTURE OP. ITEM <br />W.1TER CLOSET (TOILE"f) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATEFi <br />URINAL <br />DRINHING FOUN7AIN <br />FLOOR DRAIN <br />VACUUM 89EAKEFS <br />ROOF ORAINS — FAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIOE VARD SETBAGK STREET SETBAI <br />USE ZONE LOT AREA <br />TYPE OP CONST. OCCUPANCY GI <br />SIZE OF BLDG. NO. OF STORIEI <br />FIRE ZONE BASEMENT <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMFNTl�LIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECf <br />ATTACH <br />FEE <br />S <br />5 <br />REAR YARD SET[ <br />VACANT SITE <br />:_:YES �:NO <br />NO. OF DWELLIN <br />MAX. OCQ LOAD <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISION:� OF LAWS �ND ORDINANCES <br />GOVERNING THIS TYPE OF VJORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREItJ OR NOT. THE GRANTING OF A <br />PERIv11T DOES NOT PRESUME l"0 GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIOMS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRL'CTION. <br />SIGNATOR �OF Cf..JTRA�/pR OR AU]MORI::EjYAGENi OATE <br />X �2 <br />MECHANICAL <br />N�T— <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EP. <br />BOII.ERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFiCED AIR SVSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />GLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOO� <br />METAL FIREPLACL 8 CHIMNEY <br />FIREP�ACEINSERT <br />HEAT PUMP <br />PLAN CHECK NUMBER <br />FEES <br />BUILOING <br />PLl1MBING <br />MECHANICAL <br />DAT� OTH[R <br />BY APPR. FOR ISSUANCE BY <br />N/V-L/C 2/5/86 <br />PENALTY <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE 5 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S i �-�n n <br />(a) <br />TOTAL I I 9 I 00 <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THI3 S�A�C�I THIS `$ yAqF{pEliM1T _(�. N <br />UU / 11U �4 <br />Sign to be all on Private Property. � <br />..� <br />� . . ,. � . . .. , . : i i ' � �'—i <br />, . �1 <br />ADDRESS FILE <br />� � u � <br />i ft�i o0 <br />