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die Gvergreeri � 7{� ST � U CT i O N ��. <br />CITY OF : <br />e�erett PE���� PERMIT N0. 09109 <br />CITY HALL 259,i7a5 <br />FVERE'., WA 9E201 ❑ COMF3INATION � BUILDING ❑ MECHANICAL PLUMBING <br />OIYNER MAILAD�RE55 GIiV ZIP PNONE <br />King SizE: Photo 7G01 P•.vergreen Way <br />APCNITWTORUES�GNER MNILADDRE55 CITY 21P PHONE <br />GENERFLCANiPACTOR M1�AILA�DPESS GTV ZIP PHONE UGENSE/ <br />Northwest Neon & Plastic, Inc. 815 8th Street Kirkland 822-1200 <br />MEGIIAtllCAICANTMCtOR IAFILADDflE55 CIiY 21P PNONE LICENSEe <br />PLU6�DIIIGGON7FACi0R MFILADDR[$S CITY ZIP PHONE I�CENSE� <br />CLF55 <br />E <br />IORN <br />❑NE�'! ❑ADDITIODI ❑ALTERAiION ❑REPAIR ODEM�. uON ❑FENCE (�i�GN GARAGE <br />OF WORK <br />2400.00 -- <br />install illuminated facia sign <br />PROPOSED USE OF �ULLOING <br />lEG/L OESGFIPiION OF FROPEPTY �SHOW tlELOW <br />ior o�oc�._oF <br />JOB A�DPE55 <br />7601 Evergreen Way <br />PLUh161NG <br />YARD SETBACK <br />ZONE <br />FIf1E <br />OF <br />8 DISP. <br />— nHm�cn��no <br />— BAR. E�C.1 <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />STREETSETBACK <br />LOT �REA <br />OCCUPANCT GR( <br />1. ENVIRONMENTALCHECKLIST <br />2. BUIL�ING PLANS <br />3. FIRE HYDRANT <br />4. FIRC PROTECTION SYS7EM <br />5. GRADING <br />6. CRAINNGE <br />7. ENVIRONMEN7AL IMPACT STATEMENT <br />8. HEALTH DISTRIGT <br />APPLICnTION ACC. BY PLAN3 CHECRKE D BY <br />FJUfl <br />REAR YARD SETB, <br />VACAN7 SITE <br />❑YES LNO <br />NO.OF OWELLINI <br />n+nx.occ.�ono <br />FIRE SPRINKLER: <br />REOUIRED <br />—❑Y-E-S �❑—NO <br />ar I oa7e <br />APPR.FORISSUANCEBY <br />LNC <br />I HEREBY CERTIFY' THAT I HAVE RLAD AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND OI�DINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIeD <br />HEREIN OR NOT. THF GRANTIP�G OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TC VIOLATE OR CANCEL THE PRC� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGIILATING <br />CONSTRUCTIUN OR THE PERFORMANCE OF CONSTRUCTION. <br />crr.venm�r�cO�iYiACTORDHAUtHCRiZED�GENT OATE <br />11 <br />TYPE OF EOUIPIA[NT <br />AIR WND. UNITS — H.P. Er. <br />FF.FRIGE7ATION UNIT� -- F.P. EA <br />BOILERS — HP. EA. <br />GAS fIRED AQ UNITS — TONNAGE EA. <br />FnRCF� AIR SYSTEh15 — B.T.U. M EA. <br />LATION <br />HA�DLWG <br />—eT,u. �� <br />� PERMIT 5 <br />TOTALFEE ! <br />PLAN CHECK VUMBER PLAN CHECK <br />FEE <br />FEES VALUATION <br />BUILDING 2400. <br />PLU1dBING <br />AIECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />RECEIP� N0. <br />FEE <br />12 � 00 <br />WHEIJ PROPERLY VALIDA7ED (IN THIS SPACE) THIS IS YOUR PERMI7 <br />G��6 �G12,00 - � <br />r"� <br />, , -1F1 p <br />.., ,�. `� . <br />ADDRE55 FILE <br />I I; r � � I <br />; �, u <br />