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�, <br /> L� <br /> theEvergreen �. -��NSTRUCTiONI <br /> CITY OF <br /> � ` ���d� PERMIT pERMIT M0. OH987 <br /> GTY HALL 259�8745 <br /> EVER[1T,'NA 9920� ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFII.AODFE55 CIiV ZIP PMONE <br /> Dana' s Transmission 8901 Evergreen Way Everett <br /> ARCHITECTOR'JESIGNER MAIIApORESS CITY ZIP PHONE <br /> GENEBALCONTflACTOH MNILADDPE55 CIiV ZIP PHCNE LICENSE/ <br /> Herry Neon Co. 21027 61st Nlest Lynnwood 96036 776-8835 <br /> MECNANICAL CANTRACTOP MAIL ADDRESS CITY ZIP PHONE LICENSE Y <br /> r'LUMBINGCONTRACTOR MAILAO�FESS d7Y ZIP PNONE LICENSEI <br /> C�A55 OF LYOqN <br /> L-INEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITIOV ❑FENCE }�SIGN ❑GARAGE <br /> VFWATION OF WORK - <br /> 53�Q0. �0 <br /> DESCRI6E WORK <br /> Install ill�.tminated sign <br /> PROPOSED USE OF BUILDING - <br /> I HEREBY CERTIFY THAT I IiAVE READ AND EXAMiNED THIS AP� <br /> LEGALpEECPIPT,ONOFPROPERTY�SHOWBELOWOflATTACHFOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALI. PROVISIONS OF LAWS AND ORDINANCES GOVENNING THIS <br /> �oT e�ce�_cF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED • <br /> HERE!N OR VOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR GANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JO�AO�iE55 SIGNATURE ONTRACT ORAUTMORREDAGENT OATE <br /> 8901 Evergreen 47ay X <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND. UNIiS—H.P.EA. <br /> BATHTUB REFqIGERATION UNITS— <br /> H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—HP.EA. <br /> SHOWER GAS FIRED A.G UNITS—TONNAGE EA. <br />���� KITCHEN SINK 8 DISP. FORCED Alq SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL NEATERS—B.T.U. M <br /> LAU(JDRY TRAY UNIT HEATERS—3.T.U. M <br /> CLOTHES WASHER EVAPpNATIVE COOLERS <br />�1 WATER HEATEF <br /> CLOTHES DRYEFS <br /> URINAI VENTILATION FAN <br /> J� DRINKING FOUNTAIN RANGE HOOD <br /> FLOOfl DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br />� ROOF ORAINS—RAMLEADERS METAL FIREPLACE 8 CHIMNEY <br />`1 SINK(SERVICE—BAR,EfC.) <br /> I'i <br /> SUBTOTAL SUB TOTAL S <br />�� PEHMIT S PEHMIT S <br />)' 70TALFEE : TOTALFEE S <br />� SI�E YARD SETBACK STREET SETBACK FEAF YARD SETBACK PLAiJ CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> 7YES ❑NO FEES VALUATION FEE <br /> { TYPE OF CANST. OCCUPAhCY GROUP �O.OF DWELLING UNITS <br /> i ' <br /> i SIZEOF BLD�. NC.OFSTORIES MFX.00C.LOAD BUILOING � 3� OOO. 7,2 OO <br />� � FLl�M81NG <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> FE�UIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPflOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2. BUILDWGPLANS SEC.303(a) <br /> 3. FIREHYDRANT TOTAL 12 OP <br /> 4. FIHE PROTECTIUN SYSTEU PEHMIT VALIDATION <br /> 5. GRADING �1 <br /> WHEN �ROPERLY VALIDATED(IN THIS SPACE)THI515 VOUR PERMIT <br /> 6. DRAINAGE 5 ? � � C �.I I �, O O -- � <br /> 7. ENVIRONMFNTAL IMPACT STATElAENT � <br /> 8. HEAITH DISTRICT , . � <br /> � ..i: : �('I v <br /> , APPLCAI ION ACC. 9V PLANS CHECKED EV I APPR.FOR ISSUANCE BY � � <br /> I <br /> RB BAB " � • . , J <br />