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�,,���:,��,T,�.�� � C�NS�RIJCTION � <br />everett �'�RMIT pE�iMITNO. �� (7l <br />c�r�� r,A�� „�•� r.,,:,, <br />�w��r�Frr !vr, ae�o� ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OC.yFJ� �.�aiLCUI➢.LSS CrtY ii�• -!�.�'.I- <br />i.ynnwood Mobile Homes 9105 Evergreen Way _ 775-4688 _ <br />AFOiiiECl 0� U6iGl.i �x r,4d� 40D��[LS C'� • .� f'�'�'.� <br />GFNFRALCOYIP4CICH AIPiLAUfI�C"s5 CIiV ZIP P��OIIL UIEtlSE• <br />Sign-O-Lite Signs 12030 hiukilteo Speedway Lynnwood 98056 353-9000 <br />ldEGHA1JICALCANiRAGiO�� M1IALADDPE55 GITY FIP CHC'�E LICE6'SC� <br />FlUt.1611lGCONTRnCiOR �A41� ApORE55 CITY ZIF PHONE LICENSL • <br />GLA55 OP 1Y04K <br />❑NEVI ❑ADDITION <br />VA W ATIOtJ Of W ORN <br />5 ZZQ�.�O <br />DFSGRIpE V'/OR6 <br />erect illuminated sign <br />PPOPCSED USE G. E3 W LDC:G <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />�eca�oescnn�norvoFrHoae�arv�sHowoe�oe�onaTtna�Four�coa�es PLICATION AND KNOW THE SAME TO �.. TRUE AND CORRECT. <br />tn 11-12 Beverly Garden Tracts Div. 1 ALL PROVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS <br />�ur o�ocK_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF P. PERMIT DOES NOT <br />PRESUME TO GIVE .4UTHORITY TO VIOLATE OR CANCEI THE PRO� <br />VISIONS OF ANY OTHER STA`E OR LOCAL LAW REGJATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />i6��AiU'��LOVrp'1TH:.QOHG��AUIHpPG.EDfiGBIi DAiE <br />JOB�OlRE55 <br />9105 Evergreen Way X _ 10/2/79 <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />l'lATER f,LOSET ITOILET� <br />BATHTUB <br />LAVATOI7V (WASH BASItJJ _ <br />SHOVJEP <br />KRCHEN EINK S DISP <br />DISHWASHER <br />IAUNDPY Ti7AV <br />CLOTH@S IVASHER <br />VJATEH HEATLR <br />URINt.L <br />DRINKWG FOUNTF�N <br />ROOH OFAIN <br />VAWUh1 BREAKERS <br />ROOF DPAMS — RAINLEADERS <br />ciuv i5crwrF — Rf R FTGI <br />❑A�TERATION ❑REPAIR ❑DEdOLITION ❑FENCE �',�GN ❑GARAGE <br />SIDE �ARD SETBACK <br />USE ZONE <br />TYPE OP CONST. <br />SiFEET SGTBACk <br />LOT <br />OCCUPANCY <br />SIZ[ OF 3LDG. NO. OF STORI[5 <br />FIRE ZONE 6ASEMENT <br />APPHOVALS <br />1. ENVIRONh1ENTAL CHECK LIST _ <br />2. BUILDING PLANS <br />3. FI7E HYDRANT <br />4. FIRE PROTECTION SYSTEId <br />5 GRADING <br />6 GRlJNAGE <br />7. ENVIRONMENTAL Ih1PACT iTATE1dFNT <br />FEE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENi <br />AIR COIJD. UMTS — H.R Lf.. <br />FFFRIf:FRATION IINITS — H P. EA <br />VAflOSET�A�K ��'L.1N <br />VACANT SIT[ <br />��YES LNO <br />NO. OF DWELLING UNITS <br />NO <br />p li@ALTH DISTRIC' � � <br />APPLICATION �CC OY PLPNS CdECKED FiV � APPfi 1'OR ISSUFNCE BY <br />dOILERS — HP. [A. <br />GASFIREDA.0 UNI�S— <br />FORCED AIR SYETEMS — <br />\'JALL HEAiERS — P T U. <br />UNIT HenTEHS — B.TL. <br />EVAPORATIVE COOLERS <br />CLOlHES URYERS <br />VFNTILATICN FAN <br />AIR HANDLING UWIT — <br />SICVE <br />IdETAL FlPEPLACL & Ch <br />SUB <br />FEES <br />M EA <br />M <br />IT�1 <br />r�c <br />PL�N CHEGK Ftl <br />PEE I PECEIPi NO <br />�UILDING SjzQQ.QQ 9 �� <br />PLUAIBING <br />IdECHANICAL <br />OTHER <br />PENALTY U.8 C. <br />SEC.3031a1 <br />TOTAL • 9 00 <br />PERMIT VALIOFTION <br />N/HEIJ PROVERLY V�LIUnTED (11J THIS SPACE� THIS IS YOUR PERh11T <br />149b �QQ9.���s+i �. <br />N <br />� <br />70UR RFCEGP.T `-�° <br />< f�,tir�;; Y� u <br />. 1 ' <br />� . � . <br />� �1a�r.T9 " <br />,:;;5 �=iLE _ <br />