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thcEvergreen �ryNSTRU�TION � � � �� <br />CITY OF <br />everett PE���T PERMIT NO. O9H7g <br />CITY HALL 259�8745 <br />EVEREiT, WA 98201 ❑ COMBINATION x� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER IARaADDNE55 CITY PP v110NE <br />Ackerley Commun_cations 3601 6th Avenue S. Seattle 96134 682-3833 <br />ARCHITECTOROESIGNER AIAILA�ORE55 GIiY ZIP CHONE <br />GENEflALCOMFACTOF MAIL/�DPE55 CILY ZIP PH01lE LiCENSE/ <br />Same C AC K� RC '245JR <br />MECllqfllCALCONTRAGTOF 1.!AILAOORE55 CITY ZIP PHpNE UCENSE� <br />CUNTftACTOP <br />MFIL ADOFE55 <br />ZIP <br />•,�vr•,V^^ ❑NEW ❑ADUITION ❑ALTERATION ❑REPAIR ❑DElAOLITION ❑FENCE �81GN ❑GAFiAGE <br />.UATiON OF \YOpI: <br />5 31���.�� <br />Erect Billboard <br />PROPOSED USE OF BOII�ING <br />Advertising <br />�EGAL DESCP"t10N Of PaOPEPiY �SHOW OELOR <br />�Oi BLOC�OF <br />SW�a 7 28 5 <br />7a81 Ev� <br />PLUMBING <br />SI�E <br />TYPE <br />URINAL <br />n <br />TYPE <br />DRAINS — <br />;Gnvirc _ <br />STREET <br />OF BLOG. I N0. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILOING PLAN$ <br />3. FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B. N:ALTN DISTflICT <br />APPUCATION ACC. BY PU+NS CHECKED BY <br />RF <br />I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Fouacowes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS P.ND 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 />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTR TION OR THE PERFOR'4ANCE OF CGNSTRUCTION. <br />SIGNAT�R� �� CANiRPCiOPOBA�THO IZEO !1 � �ATE <br />in _/_ (// <br />FEE <br />pEAP YARD SETBACK <br />❑YES ❑NO <br />NO. OF �WELLING <br />APPR. FOfl ISSUANCE BY <br />BAB <br />TYPE OF EQUIPMEN7 <br />AIR CONO. UNITS — H.P. EA. <br />FEFRI3ERATION UNITS — H.P.EA <br />901LER5 — H.P. EA. <br />G�S FIR@D A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTElAS — B T.U. M <br />\VALLHEATERS—B.T.U. M <br />UNITHEATEF'S—OT.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHJOD <br />NR HANDLING UNIT — C. <br />STOVE <br />biFTAI FIREPLACE 8 CHIMNEY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAL <br />WHEN <br />ADDRESS FILE <br />FEE <br />s 3000 <br />U.B.C. <br />SEC.303�a) <br />RECEIPT NO. <br />FEE <br />121 00 <br />I � 12� 00 <br />IONIDATED (IN THIS SPACE).THIS-IS YOUp PE�I.113 rj �i � � <br />� <br />� <br />�:i� <br />. . i� <br />0 <br />i <br />- I .�1 G 1 <br />