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lheLvergreen � �'NSTRUCTION � <br />CITY OF <br />everett PERMIT pERMIT NO. 0�160 <br />C�TY HALL 259�8745 <br />EVEAETT. WA 9P201 ❑ COMBINATIOM �78UILDIMG ❑ MECHANICAL PLUMBING <br />OVINER M41lA�DflE55 GIiY ZIP PHONE <br />Digas Co. 1502 South Broadway 355-9931 <br />FFCHRECTORDESIGNEP MAILAO�RE:S Cltt ZIP PHONE <br />GENERALCONTflFCiOR MAILAO�RE55 pTY ZIP FHONE LILENSEI <br />Berry Neon Co. Inc. 21027 61st West Lynnwood 98236 776-8835 <br />_.. __.__.__,,.. MAILAOOFESS CITV ZIP PHONE LICENSEI <br />PLUlADINGCONTPACTOR RIPILAODfiE55 CITV ZIP PHONE LICENSEe <br />CLASS OF WORK � <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ��GN ❑GARAGE <br />VALUAiION OF WORK <br />£ 140�.0� <br />OESCFIBE WORH <br />Erect illuminated sign <br />�, PROPOSED WE OF BUIL�ING <br />LEGAL DESCR PTION OY Pt�urtni r pn�rv oc��.r v� <br />LOT BIOCK�Of <br />JOBADDPE55 <br />1502 South Broadway <br />PIUMBING <br />NO. TYPE OF FIXTURE OH <br />r <br />A <br />SIDE YARD SETBAGK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BL�G. <br />FIRE ZONE <br />SIREET SETBACK <br />LOT AREA <br />1. ENVIRONIAENTALCHECKLIST <br />2. BUILDING PL4N5 <br />3. FIRE HYDRANT <br />4. FIR[ PROTEGTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT S7ATEMENT <br />8. HEALTH DISTFICT <br />APPLICA7ICN ACC. BY PU1N3 CHECKED BY <br />RF <br />I HEREBY CERTIFY THAT I HAVE READ AND EW�,MINED THIS AP� <br />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 WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DCES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OH CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CONSTRUCTION OR 7HE PERFORMANCE OF C�NSTRUCTION. <br />SIGNATUFE OP fL;BNTPA OR OR /�TMORiZCD AGENT DATE <br />X�.0 ����`' , 4/ 2 2/ 81 <br />NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />PEFRIGERATION UIJITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED AA. U N ITS — TON NAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />I INIT HFATER$ -- B.T.U. M <br />qEqR YARD SETC4CK �PLAN CHEGK NUMetn <br />VACANT SITG FEES <br />❑YES ❑NO <br />NO. OF OWELLING UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIPED <br />❑YES ❑NO <br />�.. nnrc OTHER <br />qpPp. FOR �SSUANCE BY <br />BAB <br />FEE <br />S 1400. <br />U.B.C. <br />SEC.303(a) <br />FEE <br />RECEIPT NO. <br />� 1 � <br />� � � <br />ronm�� ...��...., .... <br />WNEN PROPERLY VAl IDATED QN TNIS SPACE)THI5151'OUfi PERMIT <br />�i'E �009.00-d <br />� <br />t'-� <br />,`:�PI °� <br />.. �. �..:�., Q <br />, � ; .. �i �. V <br />r. <br />L �i t,;" � 6 <br />ADDRES� FILE � <br />