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rhe Erc iveoF Col,1. V� I l� V� I� 1\ <br />e�v�rett PE�MIT pERMIT N0. 07635 <br />CITY HALL 259�47A5 <br />[VERETT, WA 9d'207 C� COMSINATION I� BUILDING C}� MECHANICAL � PLUMBING <br />OYRlC{i M1IpILADD�E55 GiY ZIP PMONE <br />D. James Stringer 14206 N.S. lOth Flace Hellevue 9tl�07 747-0085 <br />FqCMITECT OR �@SIGNER A1AIL 40pPES5 CITY ZIP PMONL <br />G[N[{IFLCONTRACTOP MAIIA�CRE55 CITY ZIP PHONE IICENSE� <br />Same <br />6�ECHFN�CALCONTR�CTOH MNLADDRESS C17V ZIP PHONE LICENSEI <br />PLUA�BINGCONTRACT00 NAlld00RE55 CITY ZIP PNONE LICENSEI <br />GLASS OF WOPK <br />❑NEW ❑FODITION ��iE7ATI0N ❑REPAIP ❑�EMOIITiON ❑FENCE ❑SIGN ❑GARAGE <br />VAWA?ION OF WOPK <br />S 2�����.0� <br />DLSCRI�E WORK <br />Interior remodel of existing building <br />PPOPOSED USE OF �UILDING <br />commercial <br />lEf,4L DESCRIPTIDN OF PPOPERiY �SHOY! BELOYJ OR ATiACM FOl R COPIES� <br />�or 1�8 e�ceK � oF Beverly Home ^racts #2 <br />Command Performance <br />nooae;s <br />7601 Evergreen Way <br />PLUMBING <br />N0. <br />OR ITEM <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIM <br />VACUUM BREAKERS <br />ROOP �r7AINS — RAWLEAOERS <br />SINK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />SI�E YARD SETBACK <br />N/A <br />USE ZONE <br />OF CONST. <br />V-1 HY <br />FIRE ZONE <br />2 <br />STREeT SETBACK <br />N/A <br />LOT AREA <br />B-2 <br />NO. OF 5T0'. <br />1 <br />t. ENVIRONMENTAL CHECK LIST <br />'L. DUILDING PLANS <br />3. FIHE HVDRANT <br />a. FIRE PROTECTION SYS7EM <br />5. GRAq1yG ' -' <br />6. DRAIRA6E • >J <br />7. ENVI�MENTALiMPA��STA <br />8. HEAL DISTRICT Cfl <br />APPLICAf�N ACC. B�� � i � LA� <br />C n <br />none <br />� <br />:�KEJ BY <br />IHWM <br />� <br />aEAR YARD SETE <br />N, 1 <br />VACANT SITE <br />❑VES ❑NO <br />N0. OF DWELLIN <br />0 <br />MAX.00C.LOAD <br />0 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. <br />ALL PROVISIONS OF LA\NS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFO- <br />VISIONS OF ANY OTHER STATE GR LOCAL LAW HEGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONfiTRUCTION. <br />SIGNATURE OF CONTRACTOR OP AUTHORIZED AGENi DAtE <br />X ,> ,� �=r , � ; I� �1�� <br />MECHANICAL ./— <br />N0. TYPE OF E�UIPMENT FEE <br />:OND. UNITS — H.P. E <br />IIGERATION UNITS — <br />ERS — H.P. CA. <br />FIFED A,C. UNITS —' <br />:ED AIR SYSTEh1S — I <br />L HEA7ER5 — B T.U. <br />HEATERS — B.T.U. <br />�Oqa71VE COOLERS <br />rHES DRVERS <br />;ILATION FAN <br />STOVE <br />CHECKNUMBER <br />7528 <br />BUILDING <br />PLUAIBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />8 CHIMNEY <br />M EA. <br />M <br />M <br />FEE 59.60 <br />s 20,000 <br />U.B.C. <br />SEC. 303 (u) <br />RECEIP7 NO. <br />8324 <br />FEE <br />111 I 00 <br />WHEN PROPERLV VALIDATE� (IN THIS SPACEI THIS IS YOUR PEfiM1T <br />.BO(6.00— 3 2603 $041.�D— � <br />) <br />� <br />1`��UR REC6IPT . Y(�UR lZE��IPI' o <br />APPR. FOR ISSUANCF BY. , / � � <br />�� :..�i�. YOU T'-{,n!�!K YqU <br />2 7 �.ldY S 0 � Z]!!�Y 8 0 <br />ADDRESS FILE ...., <br />0 <br />c <br />a <br />