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die Evcrgree�i -� C�1 N ST R lJ CTI O YV �� <br />CITY OF <br />everett PERMIT PERMIT N0. OgH76 <br />CITY HnLL 259�B145 <br />EVERE77.WA 98201 ❑ COMBINATION �CBUILDING ❑ MECHANICAL ❑ PLUMiSING <br />OVJNEIi I.IAILPDUPE55 CIIY ZIP PHONE <br />Ackerley Communications 3601 6th Avenue South Seattle 98134 682-3833 _ <br />ARCHIiEGi OR OESIGN[R IAAILAOORE55 CIT' ZIP PHONE <br />GENEBFLCONIMCTCR AINILA�ORiSS CIiP C AC KV RC �,ZqSJRPHONE UGENSEI <br />Same <br />MECNANiCaLCONiRAGTOq IAAiLFDDRE55 GiY ZIP PNONE LICEN:E/ <br />PlUA1BING CONTRAGTOR A1AIL AO�PE55 <br />ru� <br />f(q55 OF WORK <br />❑NEW ❑ADOITION ❑ALTERAiION ❑REPAIR ❑DEMOLITION �FENCE �SIGN ❑GARAvE <br />VALUATION OF WOFK <br />S 3��00.�� <br />erect billboard <br />advertising <br />LEGAL OESCPIPTION OF PROPERiY <br />LOT 13LOC�OF <br />S.W.�t 7 28 5 <br />7831 Evargreen �4ay <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATEA CLOSET QOILETI <br />9ATHTUB <br />LAVATORV �WASH BASIN) <br />SHO\'!ER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />1 AIIN�RY TRAY <br />RCOF DRAWS— <br />SINK ISERVICE — <br />�� TOTAI FEE <br />SIDE YARD SET6ACK STREEf SEiBACK <br />USF�^' LOTARFA <br />TYPE OF CANST. OCCUPANCY Gfl( <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE ��SEMENT <br />1. ENVIRONMENTALCHECKLIST <br />2. 6UIL�It�G PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. �RAIIJAGE <br />7. ENVIFONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPUCF.TION ACC. BY PLANS CHECKED BY <br />RF <br />SET�ACK <br />VACANT SITE <br />❑YES ❑NO <br />MAX. <br />APPR.FORISSUA�lCE BY <br />BAB <br />UCENSE / <br />I HEREBY CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SPME TO BE TRUE AND COflRECT. <br />ALL PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRAtJTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS O�Y OTHER STATE OR LOCAI_ LAW REGULATING <br />CONSTRUC N OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE NifiACTOP OB Alll�:4]��ENi �a' OATE <br />ouuoiNc <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />TYPE OF E�UIPM1IENT <br />J. UNITS — H.P. EA. <br />9ATION UWITS — H.P. EA <br />— H.P. EA. <br />'-0 A.C. UNITS — TONNAGE EA. <br />AIP SYSiEMS — B.T.U. M EA. <br />ATERS — B.T.U. M <br />\TERS — B7.1. ti� <br />QIVE COOLERS <br />�DRVEPS <br />❑ON FAN <br />IJOD <br />DLINGUNIT— GF.M <br />IRFPI ACE 6 CHIMNEY <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />S 3,000 <br />U.B.C. <br />SEC. 303 (a) <br />12 I 00 <br />PFOPERIY VALI�ATEO (IN THIS SPACE) THIS IS YOUR PEfiIAIT <br />�.�i �'i�2.1�—� <br />� <br />-. � <br />. I� I O <br />. • ' � � <br />ADDRE55 FILE <br />i <br />– � .. ��_ I �.; I <br />