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the Evergretn <br /> ��T�°F r'-'� '"ONSTRUCTION`, '� <br /> �.p � <br /> �`��i �''� PERMIT PERMIT NC�. IS366 <br /> arr Hnu xss e�as <br /> EVERETT,WA 98201 ❑ COMBINA'i ION � BUILDING ❑ MECHANICAL ❑ PLUMiiING <br /> OWNEN MAIL ADDHESS CITY ZIP PHONE <br /> Pignataro 4808 Evergreen Way Everett 9H2O3 <br /> 11RCHITECT OR DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br /> ENENAL CONTMCTOH MAIL AO�RESS CITV ilP PMONE LICENSE/ <br /> Meyer Sign & Advertising Company 1689 Highway 99 South Mount Vernon 98273 424- <br /> MH;NANIC�L CONTRACTOR MAIL ADOflE55 CITY 21P PHONE LICElL4EI <br /> 1JL7 <br /> PLUMBING CONTRACTCR MAIL AODRESS CITY ZIP PHONE LICENSE� <br /> CU55 OF WORK <br /> ❑ NEW ❑ ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE (�(SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 5rG00.00 <br /> DESCRIBE WORK <br /> Replac� signs <br /> PROPOSED USE OF BI11lDING <br /> I HEREBY CERTIFY THAT I HAVE R�AD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PRGPERTY�SHOW BELOW OR ATfACH FOUfl COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GI VE AUTHORITY TO VIQ�TE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> �OCAL LAW REGULATING CONSI'RUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB RDDRESS SIGNATUflE OF CONTqACTOR OR qUTHOHIZED AGENT DATE <br /> /O';lj.lhMCe'Evergreen Way X 9/20/85 <br /> PLUMBING MtCHANICAL <br /> N0. TYPE OF FIXTURE UR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WA7ERCLOSET(TOILEf) AIR COND.UNITS — H.P. EA. <br /> BATHTUB qEFRIGERATION UNITS— H.P. EA. <br /> LAVATORYryVASH BASIN) E �ILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— 8.7.U. M <br /> LAUNDRYTRAY UNI7 HEATERS— B.T.U. M <br /> CLOTHES WASHE9 EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE 400D <br /> FLOOR DRAIN AIR HAN�LING UNI7— C.F.M. <br /> VACUUM BREAKERS STOVE�-WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIFEPLACE d CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAL f <br /> PENMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIUE YARD SEfBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE fiECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> CYES C;NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILDING SS 000.00 18 00 <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> CYES GNO <br /> APPNOVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRANT T�TA� 18 00 <br /> a.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED(I�TFyS,$iAC�E)7HI�I�YPI�i P�F�MIT („ <br /> 8.DRAINAGE � � � I b U ii� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTH�ISTRICT �. q f- � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ,������ �� ? I`�L I-I PT Y� <br /> �, !-';���.��!!; YG U <br /> Z 0 ScP $5 <br /> ADDRE55 FILE <br />