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fheErcrgreen � CC�ISTRUCTION . M <br /> CITY OF <br /> everett PER�IAIT pERI�lIT NO. OSH31 <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECIIANICAL ❑ PLUM8ING <br /> OWNER MAIIFODRE55 QiY ZIP PHONE <br /> BILLI�S BIG 0 TIRES 88�0 t�R Fr'N WAY <br /> AFCHIiECTOR0E51GNEP IdAILADOFE55 CITY ZIP PHONE <br /> GFHEPALCONTRACTOR MAILAOpFiE55 CITY ZIP PHONE LICENSE� <br /> MEYER SIGN CO ti��-d�^� -- <br /> MEGHANICALWNiRACTOR MAILADDRE55 CIN ZIP PHONE LICENSEI <br /> PLU6IBING WNiPACTOR MAILA��RE55 dTY ZIP PMONE UCENSE/ <br /> CLASS OF WOFK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑fENCE �SIGN ❑GARAGE <br /> VALUATION OF W08K <br /> g 400.0� <br /> OESCRIBE WOflK <br /> INSTALL 2 S/F ILLUMINATED SIGNS <br /> PROPOSED USE OF pUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LF.G/LDESCRIPTIONOFPPOPERTV(SHOW BELOWORATiACHFOUFCQPIES) PLICATION AND fWOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT BLOCK�OF TYPE OF WORK �VILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIV=AUTHORITY TO VIOLATE OR CANCEI THE PRO� <br /> VISIO OF ANY" OTHER OF2 LOCAL IAW REGULATING <br /> CONS T�l J PE .O�CONSTRUCTION. <br /> JOBAOORESS SIGNATURE F ONT CTO�R�"�Tf/ORZEDAGENT DATE <br /> 8810 EVERGREEN WAY X �C�`- , Q- in/i2/7a <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET QOILE?) AIR COND.UNITS—H.P.EA. <br /> BATHTUB R`eFaIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILEFS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOHCED AIR S'ISTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATEil CLOTHES DflYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RAN6E HOOD <br /> FLOOR DRAIN AIR HANDLING�NIT— QF.M. <br /> VACUUM BRE4KERS STOVE <br /> ROOF DRAINS—RAINLEA�ERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SEPVIC'e—BAR,ETC.) <br /> SUBTOTAL SUB TOTAL 5 <br /> PEHh11T S PENMIT S <br /> TOTAL FEE E TOTALFEE S <br /> SIDE YARD SEiBAC1C STREET SETBACK FEAR YARD SETBACK PLAN CHECK NUMBER PIAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEcS VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CANSi. OGCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF S70RIES MAX.OCC.LOAD <br /> PLUMBING <br /> �IHEZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> RE�UIRED <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> t. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303 Q) <br /> 2. BUILDING PLANS <br /> 3. FIRF HYDfiANT TOTAL . S 0 <br /> 4. FIRE PRO7ECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPEF�LY VALIDATED(IN THIS StPACEy)TH'S IS V4OUR PERMIT <br /> 5. GRADING .7 J I � a O O S.U O � �T'� <br /> 6. ORAINAGE • . C') <br /> Z ENVIRONMEN7ALIMPACTSTATEMENT ���/^'t p' �.l 4 � <br /> B. HEALTH DIS�FICT '! �J�4 R I��L E 1 PT Q <br /> APPLICATION ACC.6V PLANS CHECKED BV APPR.FOR iSSUANCE BY r�`^'A�� YO V <br /> � � 2 acr 7 9 <br /> A�JDRESS �ILE <br />