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� GIT7' OF <br />�V�rett <br />CITY HAIL'S9�8745 <br />REF�MIT PERMIT NQ. OH�i 1 Z <br />[VEREIT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL Cl PLUMBING <br />O�YNER MHILPAUdE55 GIiY TIP PHONE <br />Lowell Van [9eingarden 7600 Evergreen Way 98203 334-3958 <br />PRCHrtECTORDESIGNER AIAILA�DPESS CITY ZIP PHONE <br />GENERALCONiRACiOR MAILApDRE55 CITY 21P PHONE �IC61:SE1 <br />Signage, Inc. 1272 State AVenue Marysville 98270 659-2200 <br />hIECHANICALCANTMCTOR MAILADORE55 CITV 21P PHONE LICENSEI <br />PLl11dpING WNiliACTOF MAIL ADOFlE55 CITY ZIP PHONE UGENSE I <br />CL.�55 OF YJOPK <br />❑NE\V ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE E}61GN ❑GARAGE <br />VAl UATION Of'.VORH <br />$ 9367.00 <br />DESCFIBE WOi1K <br />install illuminated sian <br />�Ecn� <br />LOT bLOG�_OF <br />�ELOW OR ATTACH <br />7600 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />wniEa c�osEr rtnii Fn <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, E1GI <br />SUB TOT <br />SIDE'.'ARD SET6ACK STREET SET3AC <br />USE ZUNE LOT AREA <br />TYPE GF CONST. OCCUPANCY GF <br />SIZE OF BLOG. NO. OF S70RIES <br />fIREZONE BASEMENT <br />1. ENVIRONMEN7AL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL Ih1PACT STATEMENT <br />B. HEALTH DISTriICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />RB <br />I HEiiEBY CERTIFY THAT I I1AVE READ AND EXAMINED THIS AP� <br />PL'CATION AND KNOW THE SAME TO B� TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS .4ND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SFLCIFIED <br />HEREIN OR NOT. THE GP,ANTING OF A PERMIT DOeS NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TI1E PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREOFWNiRAGTOF'JqFU7H091ZE�AGENT pAiE <br />X Check #1607 12/10/60 <br />MECHANICAL <br />NO. TYPE OF EQUINMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFFIGERA7ION UNITS — HP. <br />BOILERS — H.P. EA. <br />G.15 FlRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS— B.i.U. M EA. <br />WALL HEATERS — �.T.0 M <br />UNIT HEATEPS — B.T.U. M <br />EVAPOFATWECOOLERS <br />CLOTHES �RYERS <br />VENTILA7IOfJ fAN <br />RANGEHOOD <br />AIR HANDLING UNIT — CF M <br />METAI FIREPLFCE 8 <br />REAR YARD SETBACK PLAN CHECK <br />VACANT SITE _ _ <br />❑YES ❑NO <br />NO.OF DWELLING UNITS <br />�UILDING <br />MA%.00C,LOAD <br />PLUMBING <br />FIRE SPPINKLERS <br />REQUIR[D MECHANICAL <br />❑YES ❑NO <br />BY DATE OTHER <br />PENALTV <br />TOTAL <br />APPR.FORISSUANCEBY <br />SAB-:,NC <br />PERMIT <br />TO7ALFEE <br />PLAN <br />FL'E <br />VALUATION <br />54367. <br />U.f3A <br />SEC.303�a) <br />FECEIPI NO. <br />PERMIT VALIUATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEFIdIT <br />� � � <br />li'€0 ���8.��—N�.� <br />� <br />7��-� <br />. �..( ���Y <br />'. , U <br />a�nR�ss r-i�e i ii i:-� i�J <br />