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� <br />tlie EvcrAreen <br />��,Y G� <br />everett <br />GTY HALL 259�8745 <br />� ;ONST�UCTIC�� <br />P����� PERMIT N0. 15544 <br />EVERET7,WA98201 ❑ COMBINATIO�' � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAII. ApOFESS CITY ZIP PMONE <br />Firestone Evergreen Way Everett 98204 __ <br />ARCHREGT OR �ESIGNER MFII. AOOfiESS CIiY ZIP CHONE <br />GENERALGONTRACTOR MAILApOflfiS CITY ZIP PMONE LICENSEN <br />City Sign Co. 3502 South Pine Tacoma 98409 473-7496 <br />MEGMANICAL WNTFALTOR MFI(. AOORESS CITY ZIP PMONE LICENSE N <br />CITYS**334PB <br />PLUMOING GONTRaCTOfl MAIL ADOHESS CITY ZIP PHONE LICENSE Y <br />C1A55 OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE �}61GN ❑ WCJD STOVFJFIREPLACE INSERT <br />VALUATION OP WORK <br />S Llr%4'"'J.�� <br />Install self-contained illum, letters{:, sets) & Install <br />LOT _ BLOCK _OF <br />8130 Everqreen Way <br />PLUMBING <br />N0. TYPE OF FIXTUfiE OR <br />WATER CLOSET (TOILEn <br />BATH7U6 <br />LAVA70R'! (WASH BASINI <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLO7HES WASHER <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLQOR ORAIN <br />VACUUM BFEAKEFS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVIC[ — BAR, ETC.) <br />SETBACK <br />SIZE <br />SUB 70TAL <br />PERMIT <br />TOTALFEE <br />1. ENVIRONMLNTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTEC710N SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMEtIT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKEI <br />121um. sign <br />I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br />WHETHEH SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMF TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHeR STATE OR <br />LOC'AL LAW REGULATING CONSTRUCTION OR THE <br />FEE <br />AGENT <br />N0. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />FCFRIGERATION UNITS — H.P. FA. <br />BOILERS — H.P.EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — 8.T U. M EA. <br />WALI HEATERS — B.T.U. M <br />UNIT HEATEflS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHC-S DRYERS <br />VENTILAT:ON FAN <br />fiANGE HOCD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />S <br />REAR VARD SETBACK PLAN CHECK NUN <br />VACAN7 SITE <br />CYES �.:NO FEES <br />OCC.LOAD <br />FI <br />R <br />BY <br />APPR.FORISSUANCE <br />BUILOING <br />PLUMBIN� <br />MECHANICAL <br />OTHER <br />PGNALTY <br />SUB TOTAL <br />PEflMIT <br />70TAL FEE <br />FEE <br />oare <br />10/17/85 <br />� <br />5 <br />S <br />PLAN CHECK FEE <br />� RECEIPT NO. <br />VALUATION <br />�al <br />FEE <br />42 100 <br />TOTAL I I 4z I �� <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALIDATE� (IN THIS $PlnCE1 THI�J�YOUij P�F�AIT ^� � <br />�ILl6 �{L U <br />nooHess r-i�r- <br />`,� _ .; i; ;",[:�; �=1f'T _ , <br />� ;'`..i�!; Y'C'U <br />I 1 �.�i �.� <br />z <br />0 <br />-a <br />C'1 <br />m <br />.. .. <br />-i -*i <br />.. -i <br />N S <br />v <br />m <br />c o <br />m o <br />c� <br />-t c <br />O 3 <br />m <br />_ � <br />m <br />.� <br />A "' <br />c <br />:.+ --I <br />_ _ <br />.-� �-r <br />� N <br />-< <br />� <br />O .'a <br />�I D <br />--i m <br />2 <br />�*1 rr <br />N <br />v <br />o r <br />c� m <br />3 tyi� <br />m <br />z c-> <br />�m <br />a <br />� <br />�--I <br />x <br />a <br />z <br />� <br />x <br />� <br />u <br />.�-� <br />C7 <br />m <br />