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_i <br /> �he E�•errreen �- � - �O��T R U CT I r 1V <br /> Citv O� <br /> everett p�RMIT PERMIT NO. 14502 <br /> �l GTti �iAL1259�8745 <br /> EVERET7,WP.98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFILAODRESS GTY ZIP PHONE <br /> Union Oil Co. 10308 Evergreen Way Everett 98204 347-4542 <br /> ARCHITEGT OR�ESIGNER MAIL AODRE55 CITY ZIP PMONE <br /> GENERAL CONTRACTOR MAIL ApDRE55 CRV ZIP PHONE 4CENSE X <br /> S & S Sign Co. 13190 Stone Avenue North Seattle 98133 365-0242 <br /> MECMANICAL CONiRACTOR MAIL ADDRE55 CITY ZIP PNONE UCENSE N <br /> PLUMBIN6 WNTRACTOR MAIL AOCRESS GITY ZIP PHONE LICENSE� <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE XX SIGN ❑ \NOOD S70VEIfIREPLACE INSER � <br /> VALUATION OF WORK <br /> q � �50�.�0 <br /> DESCRIBE WORK <br /> install illuminated sign <br /> PFOPJSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS <br /> Z <br /> APFLICATION AND KNOW THE SAME TO BE TRUE AND o <br /> LEGALDESCRIPTIONOFPROPERTY�SMOWBELOWORAiTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> � <br /> GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH " <br /> m <br /> �or_a�ocn._oF " WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A • <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE N � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR � T <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF MANCE OF C TRUCTION. N m <br /> SIGNA OF UTH ED FGENT DATE <br /> JOB A�DRESS � �^ � _ C � <br /> 10308 Evergreen Way X �., <br /> PLUMBING MECHANICAL o 3 <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE _ � <br /> WATEflCLOSET(TOILET) AIR COND.UNITS - H.P. EA. m M <br /> BATHTUB REFRIGERATION UNITS - H.P. EA. C Z <br /> LAVATORY(WASH BAfIN) BOILERS - H.P.EA. � _ <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. � <br /> -{ N <br /> FORCED AIR SYSTEMS- e.T.U. M EA. -e <br /> KI7CHEN SINK&DISP. T� <br /> WALL HEATERS- B.T.U. M O 7� <br /> �ISHWASHER �l D <br /> LAUNDRY 7RAV UNIT HEATERS- B.T.U. N1 � 3 <br /> CLOTHES WASHER EVAPORATIVE COOLERS m N . <br /> WATER HEATER CLOTHES DRYERS o r <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD C N <br /> FLOOR �RAIN AIR HANDLING UNIT- G.F.M. z n <br /> VACUUM BREAKERS S70VE-WOOD � m <br /> ROOF DRAINS- FAINLEADERS M[TAL FIREPLACE 8 CHIMNEY � <br /> SINK(SERVICE - BAR,ETC.) FIFEPLACE INSERT � <br /> HEAT PUMP = <br /> D <br /> Z <br /> � <br /> 2 <br /> N <br /> SUB TOTAL "a SUBTOTAL 5 Z <br /> PEHMIT S PEHMIT t � <br /> TO7AL FEE 5 70TAL FEE S � <br /> PLAN CHECK FEE n <br /> SIDE YARO SETBACK S7REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER r^ <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SiTE FEES VALUATION FEE <br /> YES '.NO <br /> TYPE OF CONST. CCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING s 1500.00 Q �� <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC. LOAD <br /> PLUM8ING <br /> FIRE ZONE BASEMENT q�EOUSRED KLERS MECHANICAL <br /> YES 7N0 <br /> APPHOVALS BV DATE <br /> OTHER <br /> U.B.C. <br /> 1. ENVIRONMENTAL CHECK LIS7 PENALTY SEC.303(a1 <br /> 2.BUILDING PLANS 707AL 9 OO <br /> 3.FIRE HYDRAN7 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDA7ED pN THIS SPACE)THIS�.ISYOU9�PERMIT__ �`.'� <br /> 5.GRAD W G �- C' <br /> 6.DflAINAGE Sign to be all on private property. �,_, <br /> 7.ENVIRONMENTALIMPACTSTATEMENT , .v <br /> B.HEALTH DISTRICT ' � ' ' � �� ' <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY , . , � <br /> RF NV/LNC <br /> ADDRESS FILf_ <br />