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rheEvergrcen ��NSTRUCTI�N � r <br />CITY OF <br />�verett PERMIT pERMIT N0. OS421 <br />cirv Hn�� 2ss o�as <br />LVERETT.IVA 98207 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEII MAILF�pBFSS CIIY ZIP PHONE <br />Tommy Thompson Auto Sales 7029 Evergreer Way Everett <br />ARCHITEGiORDE9GNE11 I.IAILADDRE55 G�TY ZIP PMONE <br />4ENEBALCONiRNCiOR MAILADDRESS CITY ZIP PMONE LIGENSE� <br />Berry Neon Sign Co. 21027 61st West Lynnwood P�a. 98036 77G-8835 <br />AIECHANIC�LGONiRAGTOR MAILAD�RESS LITY 21P PM011E LIGENSEI <br />PLU�IBINGCANTflACTOR AIAILAODBE55 CITY ZIP PMONE LIGENSE� <br />CLA55 OF \i'OIiK <br />❑NEW C�nuDITION ❑ALTEFATION ❑FlLPAIR ❑DEMOLI710N L�FENCE �I(j{IGN ❑GARAGE <br />IALUATION OF WORN <br />5 12BS.00 <br />oesca�oe woaK <br />relocate illuminated sign <br />IEGAI OESCRIPiION OF YHVrtni � <br />�or o�aK_or <br />OBPDORE55 <br />7024 Evergreen Way <br />PLUMBIKG <br />N0. TYPE OF FIXTURE <br />9ATHTU3 <br />DISP. <br />VACUUM <br />0 <br />� <br />SIDE YARD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />FIRE ZONC <br />STREET SEiBACK <br />LOT AREA <br />OCCUPANCY GR( <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROT[CTION SYSTEIA <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIRONIAEN-ALIMPACT STATEMENT <br />0. HEAL7H DISTRICT <br />APPLICATION ACC. BY PLAN$ CHECKED BY <br />RS <br />COPIF'� <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIUNS OF LAWS AND OFDINANCES GOVERNING THIS <br />TYPE OF WO�iK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PF.RMIT DOES �OT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FFl+J� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREOFC HiRACTO� OPAUi110ri12EDAGENT DATE <br />X i <br />MEC ANICAL <br />N0. TYPE OF EQ IPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />PFFRIf:FRATi(1N IINITS — H P FA <br />nuitcna — n.r. �... <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALL HE�TERS — �.T.U. M <br />UNIT HEATERS — �T.0 M1� <br />EVAPORATIVE COOLEPS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE <br />AfETAL FIREPLACE & CHI1dNEY <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />REAR YARD SETBACK �PLAN CHECK <br />VACANT SITE <br />❑YES ❑NO <br />NO OF DWEL <br />MA%. OCC. L( <br />FIRE SPRINKI <br />REOUIRED <br />�❑YES� '❑NO <br />BY I D� <br />qPpA EOR ISSUANCE BY <br />8Ak3 <br />LNC <br />BUILDING <br />PWlABING <br />AIECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />PLAN C <br />FEE <br />VALUATION <br />5128$.00 <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />FEE <br />�m <br />� � � <br />renmu vnuunuv�. <br />WHEN PROPERLY VALIDATED QN iHIS SPAC9) T�HIGSS YOU�P�i1�1T� Q a ��� <br />�� �� � <br />Sign to be all on private property. N <br />.. ;;; z�_cr:lr� <br />,...'� ��`�� <br />ADDRESS FILE <br />� �; oci 8 Q <br />