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' thel:rer�;reen , -� "-'�ONSTRUCTIOI`" "�- <br /> crtv br � <br /> e�erett P��� �� PERM�r No. s63 � 3 <br /> CITV HALL 259�B7d5 <br /> EVEHETT,W49B201 ❑ COMBINATION �I BUII.DING ❑ MECHANICAL ❑ PLUMBIP!G <br /> OWNER MIIL AppRESS CITY ZIP �MONE <br /> cmFcrc ann� �VERETT WA 96204 353-9712 <br /> ARGHIiELT OH OESIGNER AIL A CITY ZIP PMONE <br /> GENENPL GONTRAGTOR MAIL A008E55 CITY 21P VHONE i�CENSE� <br /> CITY SIGN SERVICE PO BO.l' 2217 EVfiREi?' WA 98203 339-2644 GITY3ST75BOK <br /> MF.CIIFNICAL CONTRAGTOR MAIL ADDRE55 CITY 21P PMONE LICENSE N <br /> PLUMBING CONTRAGTOP MAIL AD�RE55 GTY 21P PHONE LICFNSE N <br /> CLASS OF WORK <br /> ❑NEW ❑ AD�I710N ❑ AL7ERATION ❑F.EPAIR ❑ OCMOLITION ❑ FENCE �] SIGN L7 WOOU STOVE�FIPEPLACE INS� 97 <br /> n <br /> \'11UF710N OF WORK <br /> S 2��.�0 <br /> OESCRIUF WORK <br /> Install styrofoam letters on buildin <br /> PROPOSED USE OF BUILOING <br /> Retail I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> .EGALDESCRIPTIONOFPROPERTV�SHOWBELOWORATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK__OF GOVERNING THIS TYFE OF WORK WILL BE COMPL�FD WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER S'fATE OR <br /> LOCAL LAW REGULATING CONSTHUCTION OR THE <br /> PEiiFO NCE OF CONSTRUC'iION. <br /> JOB ADONESS SIGNATII CONTRACTOR 0 UTMORIZEO AGENT �pTE <br /> 10121 Evergreen Way X �/ .�✓� 4 10 8 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERGLGSET�701LEp AIH COtvD.UNI7S — H.P. EA. <br /> ❑ATHTUB R[FRIGERATION UNI7S— H.P. EA. <br /> LAVA70RY(WASH BASINI BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.G.UNITS— 70NNAGE EA. <br /> KITCHEN SINK 8�ISP. FORCEL qIR SYSTEMS— B.i.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEA7ER5— B.T.U. M <br /> CLO7HES WASMER EVAPORATIVE COOLERS <br /> WAT�R HEATEH CLO7HES DRYERS <br /> URINAL VEN7ILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOH DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEA7 PUMP <br /> SUBTOTAL 5 SUB TOTAL S <br /> PERMIT S PEHMIf S <br /> TOTAL FEE f TOTAL FE: 5 <br /> SIDE YARD SE78PCK S7REETSETBACK FEAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ;;YES C:NO FEES VALUA710N FEE <br /> TYPE OF CONST. OCCUPANCY��ROUP NO.OF DWELLING 11NIT5 <br /> BUILDIf:G g200.00 12 00 <br /> SIZE OF BLOG. NO.OF STORI'e5 MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIP.E SPRINKLERS MECHANICAL <br /> REOUIRED <br /> :=YES ��.=;NO <br /> APPNOVALS 3Y DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEG.303(a) <br /> 2.BUILOING PLANS <br /> 3.FIREHYDRANT TOTAL 12 00 <br /> 4.FIFE PRCTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GRAOING WHEN PROPERLV VALIOATBD(IN THI$.SPACFJ THIS!S i1(O`�FpP�iMIT_(Y� <br /> � 1 ., ��i I L ll �i <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPAGTSTATEFicNT FE0 doubled - work already completel M <br /> (f: <br /> 8.HEALTH DISTRICT � � � <br /> . . . . � � � . <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FJR ISSUANCE BY <br /> , � <br /> � , .: ri ��q <br /> ADDRESS FILE <br />