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^ i <br /> dic L'rer�;reen - - C O N ST R U CT I C��'V <br /> ��T�oF � _ <br /> ,- <br /> ever�tt PERII� IT PERMIT N0. 1�F5O3 <br /> CITY HALL 259�8745 <br /> EVFRETT,lNA98201 � COMBINATION �I BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRE55 CITV 21P PHONE <br /> Union Oil Company 10308 Evergreen Way Everett 98204 347-4542 <br /> ARGMITEGT OR DESIGNER 1.1AIL AOORE55 CITY ZIP PMONE <br /> GENE9AL CONTRACTOR MAIL ADDRE55 GITY ZiP PMONE LICENSE I <br /> S & S Sign(r. 13190 Stone P�venue North Seattle 98133 365-0242 <br /> MEGHANICAL CONTflFLTOR MAIL FD�RESS CITV 21P PHONE LICENSE X <br /> SSSIGC*3030N <br /> PLUMBIN6 ANTRACTOR MFIL ADDRESS LITY ZIP PNONE LIGENSE X <br /> CLA55 OF WORK <br /> O NEW � ADDITIUN O ALTEFtATION ❑REPAIR ❑ DEMOLITION rJ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORH <br /> S 5U�.�� <br /> DESCRI6E WORK <br /> install illuminated wall sign <br /> Z <br /> PROPOSED USE OF BUILOING p <br /> I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAM� TO BE TRUE AND �-+ <br /> LEGAt,DESCRIPTION OF PROPERTY�SHOW BELOW OR ATTACM FUUR GOPIES� CORRECT. ALL PROVISIONS OF LAN'S AND ORDINANCES m <br /> GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED WITH " <br /> LOi__BLOCN_OF WHETNER SPEGFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE .� n <br /> OR CANC€L THE PROVISIONS OF A�JY R STATE OR <br /> LOCA LqIW REGULATING CO UCTI OR THE N = <br /> PERF R NCE OF N tdC � p <br /> JOB AOORESS SIGNATU F CO A A ��TE m O <br /> 10308 Evergr�en Way X Z' ' ' 0 3 <br /> PLUMBING MECHANICAL � Z <br /> NO. TYPE OF fIXTUHE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE m'� <br /> — � <br /> WA7ERCLOSET�TOILE� AIR COND. UNITS — H.P.EA. q Z <br /> BATH7UB REFFIGERATION UNITS — H.P. EA. C <br /> _ a = <br /> LAVATORY(WASH BASIN) BOILERS– H.P. EA. .. <br /> SHOWER _ GAS FIRED A.C. UNITS–TONNAGC EA. � T <br /> 'f,ITChEN SINK 8 DISP. �ORCED AIR SYSTEMS– B.T.U. M EA. O A <br /> DISHWASHER WALL HEATERS– B.T.U. M � 3 <br /> LAUNDFY 7PAY UNIT HEATERS– B.T.U. M � m <br /> m .-� <br /> CLOTHES WASHER EVAPORA7IVE COOLERS v� � <br /> 0 <br /> WATER HEATER CLO7HE5 DRYERS O � <br /> URINAL �ENTILATION FAN 3 N <br /> DRINKING FOUNTAIN RANGE HOOU Z � <br /> FLOOR ORAIN AIR HANDLING 11N1T – C.F.!.t. � r <br /> • m <br /> V:-,rUUM BREAK[RS STOVE–WOOD � <br /> ��i'JOF�RAINS– RAINLEADERS METAL FIREPLACE 6 CHIMNEY _ <br /> --I <br /> SINK(SERVICE – BAR,ETC.) FIREPLACE INSERT Dx <br /> HEAT PUMP Z <br /> _ � <br /> 2 <br /> N <br /> Z <br /> SUB TOTAL S SUB707AL S o <br /> PERMIT 5 PERMIT 5 � <br /> 7�7AL FEE 5 70TAL FEE S m <br /> SIDE YARD SETB.ICK STREcT SETBACK REAR YPND SETdAGK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE"LONE LO7 AREA VACAN7 SI7E <br /> L'.YES :;NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GflOUF NO.OF DWELLING UNITS <br /> BUILDING 5 500.00 5 00 <br /> 5ZE UF BLOG. NO.�F STORIES MA%.OCQ LOAO – – <br /> PLUTABING <br /> FIRE ZONE BASEMENT FIRE SPRINKLER'i MECHANICAL <br /> REOUIRED <br /> ;:�.YES ..NO <br /> APPROVALS BY DATE �THER <br /> 1. ENVIRONMENTAL CHECK UST PENAL7Y U.B.C. <br /> SEC.303(a) <br /> 2.6UILDING PL4N5 5 OO <br /> TOTAL <br /> 3.FIFc HYDRANT <br /> 4.FIRE PROTECTION SYS7EM PE:iM1T VALIDA7ION <br /> 5.GRADING WHEN PROPERLY VALIDA7ED(IN 7HIS SPACE)7rIIS IS YOUR PERMI7 (� <br /> 6.DRAINAGE _ . . f ? r '�' n r i^, i� — � <br /> 7.EhVIRONMEN7ALIMPACT57ATElAENT r7 <br /> 8.HEALTH DISTRICT _ � <br /> AFPUCATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY . �. � � I. �I <br /> RF NV/LNC � � , <br /> ADDRESS FILE � � � <br />