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fhc Et�ergrren „O N S�' R U CT I O� V <br />��r� oF �- � <br />�v�r��� PERMI�' PERMIT N�. 12156 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 [] COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUMBIPJG <br />OwNER AIqIL ADORE55 GITY ZIP PHONE <br />McDonald Restaurant 7430 Evergreen Way Everett 9£3203 <br />ABCHrtECTON OESIGNER 1dAIL AODRE55 GITY Zi? PMONE <br />GP.ERALCONTNAGiOH MAIL��DRESS CITY ZIP PHONE LIGENSE. <br />Berry Neon Co. Inc. 21027 61st West Lynnwood 98036 776-8835 <br />MEGNANICRLGONiFqCTOR MAILAOpRE55 piY ZIP PHONE LICENSEM <br />BERRYN 247LD <br />PWMBINGG9NTRAGTON MAILAOORE55 CIiY ZIP PHONE LICENSEX <br />❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ OEA'OLITION ❑ FENCE }(�I SIGN ❑ WOOD STOVEIFIREPLACE INSEFT <br />VAWATIONOF WOPK <br />5 Q6�.�� <br />Install reader board <br />Pii0PO5E0 USE OF �UILOING <br />commercial <br />�or <br />7930 Evergreen <br />PLUMBING <br />� NO. TYPE OF FIXTURE OR ITEM <br />WATE i CLOSET�TOILET7 <br />BATHIUB <br />L4VAT 7RV �WASH BASIN) <br />SHOWI:R <br />DISHW,�SHER <br />LAUNDI IY TRAV <br />WATER HEATER <br />URINAL <br />DFiINKI1�G FOUNTAIN <br />FLOOR JRAIN <br />VACUUlIBREAKERS <br />RODF OiAINS — RAINLEADERS <br />SMK �5 iRVICE — BFR, ETC.) <br />SUB TOTAL <br />PEflMiT <br />TOTALFEE <br />IEET SETBACK <br />�PPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILOMG PLANS <br />4. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />8. DRAINAGE <br />7. ENVIRON4IENTALIMPhCT! <br />B. HEALTH DISTR�CT <br />APPLICATION ACC. BY . <br />� <br />RF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO ��IVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS UF ANY OTHER STPTE OR <br />LOCAL l..4W REGULATING CONSTRUCTION OR THE <br />PERFOR NCE OF CONSTRUCTION. <br />SiGNATUR CONTRACT R HORIZED AGENT �RtE <br />x f�� �% — 7�� /,F3 <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />HEFRIGERATION UNITS — H.P. EA. <br />BOILEPS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — BS.LL M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDIING UNIT — C.F.A1. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />5 <br />5 <br />REAR YARO SETBACK <br />YES ,-;NO <br />DATE <br />FOR ISSIIANCE RY <br />NV <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE 5 <br />INUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTMER <br />PENnLTV <br />5480.00 <br />lal <br />RECEIPT NO. <br />FEE <br />C� � � <br />TOTAL I I 5 I 00 <br />PERMIT VALIOATION <br />WHEN PROPEFLY VALIDATEO �IN TMIS SPACE) THIS IS YOUfl PERId1T (j� <br />9034 E005.00— � <br />ADDRESS FI�E <br />c� <br />N <br />YOII R 2cCEIPT `� <br />r}��r�K You <br />- 7 � 83 <br />�� <br />'� <br />1 <br />� <br />