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die Ercrgrcen '�' ! A� wT � u(;'(' I�� <br />CITY OF v e � v a <br />��jT����t PERlV1iT PERMIT N0. 1116�. <br />ciTv Hn�� 2sso�a� x�tgUILDING ❑ MECHANICAL ❑ PLUMBING <br />eve�err.v✓n �oza� ❑ COME3INATION <br />ocrr,e�� rsFanooF�ess cnr zie P��oue <br />White Swan Chevron Gas Station 7429 Evergreen Way 98204 353-1122 <br />n�r.nnr.croaoescr�civ rAni�nooness crcv zi❑ r�io�+e <br />GENERAL WNtFl+C10H 1.141LFD�PESS CITY ZIP PI:OIIE LiC[NSE � <br />Berry Neon Co. Inc. P.O. Sox 5269 Lynn�vood 98036 776-8835 <br />I.IECHANICAI C04iMC10P I.IAIL ADDHE55 CIiY liP P/1011[ LICEt:it n <br />BE RR YN 247LD <br />FLUI.IBINGGONTRACTOR l.IFILAO�(iE55 GIiY 2�P V110NL I�CG�1S' � <br />CLA55 <br />< <br />OPK <br />❑NEW ❑ADDITION ❑ALi[RATION ❑(�EPAIR ❑DEIdOLIT10N ❑FENCE XXSIGN GARAGE <br />OF VJOPK <br />1400.00 <br />install illuminated siqn <br />enoroseo osE oF suamNc <br />LGG��I �ESCAIPiION OF PFOPERiY <br />�or_ _oiocK_c, <br />l� , LRE55 — — <br />-7-42'9' Evergreen Way <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />(ITCHEN SINK & DISP. <br />JISHWASHER <br />..P.UNDFYTRAV <br />:LCTHES WASHEH <br />JlATER HEATER <br />uaiNn� <br />DRINKING FOUNTFIN <br />FLCOR DRAIN <br />VFCW td �REH!:ERS <br />ROOP DRAINS — AAR <br />cinie �cr.AvicF — RAF <br />SIDE YAflD SETBA'�K <br />n�e <br />OF <br />STREF.T SETCACK <br />LOT AF7EA -- <br />OCCUPANCY GR( <br />NO. OF STORI�S <br />�ASE1dENT <br />1. ENVIf�ONMEIJTAL CH[CK LIST <br />� DUIlDI1dG PLANS <br />�. FIRE HVDRPVT <br />a. FIRE PROTEC710N SYSTEM <br />5 GFhDING _ <br />6. DRAINAGE <br />7. ENVIFlON�dENTAL IMPACT STATE�dENT <br />e. HEl.�TI' DISTRI�T <br />pPPLICATIC.`! ACC. 6Y PLPNS CHECKED BY <br />RP <br />RGM YAFD SEI�ACK <br />VACANT SITE <br />I.:YES ❑170 <br />NO. OF DWELLINIi UMTS <br />�AA;' OCC <br />I HEREBY CERTIFY THAT I HAVE READ AND [YAMWED THIi AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIMG �'HIS <br />TYP[ OF WORK WILL BE COMPLIED VJITH WHETHER SPECIRED <br />HEREIN OR NOT. THE GRA�TING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 1'HE PRO� <br />VISIONS CF ANY OTHcR STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFOFfdANCE OF CONSTRUCTION. <br />�s�r.urauae c Co'+rar.c�c� o�� �u���emzeo nccuT oraE <br />� s� ?� �..- <br />MECHANI AL <br />NO. TYPE OF EQUIPMENT _ � <br />qi� cor�u ur�iTs — N r er <br />I �rmv_conrinN IRI�TA — N P FA — <br />APPR. FOR ISSUAN.SE �Y <br />NV <br />BOILERS — H P EA. <br />GAS FIRED A C. UIJITS — TONNAGE EA. <br />FOHCE� AIR 5'i STEMS — B T.U. �� <br />V1ALL H°ATLHS — B,T.0 �� <br />nvir ucerGaS — R T ll. �d <br />ouaoiN� <br />PLUlA�IP;G <br />PENALTY <br />TOTAL <br />Fnra <br />li — CF67. <br />AL. PIpEPLACE E CNIMMEY <br />PLAN <br />FEE <br />�1400. <br />U3A. <br />SFC. 303 (a) <br />f7ECEIPT PJO. <br />FEE <br />9 <br />� �� <br />rcmm� r <br />�YHEN i'POPSRLY VFLI�PiED �1N THIS SPACE) TH!5 IS YOUR PERldiT <br />Sign to be aii onj�Y�i�vat��'gp���X-- �j� <br />� <br />^—� <br />'fUYll'�. RE�CIf''t =--� <br />il-fANY, YU�J <br />2 2 �CT 8 Z <br />,�J�ui'-S> f=1L[: <br />