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die Er•ergreen " � ') � ST I 1 V C� Y�� �. <br />CITY OF <br />ev�reit P�R��T P�RMIT N0. OH672 <br />CITY IIALL 259�8745 <br />EVERETT.tVA 98201 ❑ COMBINATIQN � BUILDING ❑ MECHANICAL PLUMBING <br />OWNER <br />1.!AILAO�PE55 CIiY ZIP PHONE <br />Lowell Van Weingarden 7600 Evergreen �4ay 98203 334-39 <br />ARCNIIECTOBDESIGNER MAILAODRE55 CITY ZIP PMONE <br />GENEPNICONTRhCTOR AIAILADDRE55 CITY ZIP PMONE UCtN'uEI <br />Signage, Inc. 1272 State AVenue Marysville 98270 659-2200 <br />I.IECHAtJICAI CONiFAGTOR MAIL F��RESS CITY 21P PNONE LILEkSE f <br />PLUM�ING CONTRAGTOF <br />MAILA�DRESS CITY ZIP PMONE LICENSE� <br />❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE g}SIGN ❑GARAGE <br />5 4367.00 <br />_.._ � <br />install illuminated sign <br />�sHo�v <br />L01. BLOGK_OF <br />doe hooacss <br />7600 Evergreen Way <br />PLUMBING <br />N � TYPE OF FIXTURE <br />WATER CLOSEf ROILETI _ _ <br />DRINKING FOUNT <br />FLOOR ORAIN <br />VACUUM BREPKE <br />ROOF DRAINS — <br />SINK ISERNCE — <br />Sl�e YARD SETSACK <br />USE ZONE <br />TYPE OF CONST. <br />S¢E OF BLDG. <br />STPEE7 SETBACK <br />LOT AREA <br />OCCUPANGY GROUP <br />N0. Of S70RIES <br />t. ENVIRONMENTALCHECKLIST <br />2. �UILDING PLANS <br />3. FIRE HYDR�NT <br />:. FIRE PROTECTION SYS7EA1 <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IM1iPACT STf.TE61ENT <br />9. HEALTH DISiRIGT <br />l.PPLIC4TIOP! F�C BA' PU1NS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ P.ND EXAMINE�J THIS AP• <br />iOUFCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH NIHETHER .PEGFIED <br />HEREIN OR NOT. THE GRANTING OF A:. �MIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR �'ANCELTHE PRO� <br />VISIONS CF ANY OTHER STATE OR LOCAL IAW fiEGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. <br />SIGNATURE OF CONTRAGTOR OR AUTNOPIZED AGENT GATE <br />Check #1607 12/10/80 <br />X <br />MECHANICAL ._ <br />REAH YHRD SE1tlFcrc <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWELLING UNIiS <br />Ir1F%. OCC. LOAD <br />FIRE SPPINKLERS <br />APFR FOH ISSUANCE BY <br />TYPE OF EQUIPMENT <br />41R COf1D. UNITS — H.R EA. <br />REFflIGERATION G'!ITS — H.P, EA <br />601LER5 — H.P. EA. <br />GAS FlRED A.C. UNITS — TONNAGE EA. <br />FORCE� AIR SYSTEMS — B?L. �+� <br />WALL HFI�TEFS — B T.U. �� <br />UNIT HEATERS — B.T.U. ��� <br />EVAPOf7NTIVE COOLERS <br />Ci nTHES DRYERS — <br />I.ifc <br />CHECK <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />GF.M <br />FEE <br />FEE <br />54367. <br />U.B.C. <br />SEC. 303 (a1 <br />FEE <br />RECEIPT N0. <br />FEE <br />�� <br />rcnmi� ....��•.• ..�� c THI515 YOUR PERhiIT <br />',VHEN PROPERLY VALIDATED QN iHl.. SPACE) <br />�,,so c.n18.0� �1 <br />� <br />� <br />' � '..� ���� <br />. ... ,I <br />�' <br />. <br />