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theEvergreen " � �I��NSTRUCTION �� � <br />CITY OF <br />everett PERMIT pERMIT NO.OBZOO <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUM8ING <br />OWNEP <br />MAIL ADDRE55 CITY �Ip <br />MOTHER & DAUGHTER F�ORIST PHON� <br />NRCH17ECLOROESIGNEq 9107 EVERGREEN WAY E4ERETT <br />MAIL ADDRE65 qTY Z p <br />PHONE <br />GENF.RAL CON7RACi0R MAIL ADORESS <br />CI7Y 21P VNONE <br />LIGENSE I <br />MECMFNICALfANTRACTOR -- MaILADGRE55 <br />'�TY Z�P PHONE �ICENSE I <br />SIMCO SIGN CORP. 2719 MAPLE EVERETT 252-0086 <br />PLUMBINGCONTHACTOq MAILAODRESS 52—ML—OS CZ%Z% P3 <br />CITY Z�p PHONF i ircuee . <br />CtA55OF WOPK <br />❑NEW ❑ADDITION ❑PLTERATION LIREPAIn ❑DEMOLITION L�FENCE QSIGN ❑GARAGE <br />VALUAiION OF WpRK <br />S 8�0,�� <br />DESCfl16E WORN — <br />SIGN <br />lOT BLOC�_OF <br />9107 <br />PLU <br />SINK <br />SIDE YAqC <br />USE ZONE <br />NPE OF C <br />SIZE OF BL <br />FIRE ZONE <br />F _ <br />STREET <br />NO. <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRON!4ENTAL IMPACT STATEMENT <br />B. HEALT:I DISTRICT <br />APPLIC.a�ION ACC. BY PLANS CHECKED BY <br />ONATTACHFOUflfAPIES) PLICATONCAND KNOW THE SAMEETO BE�TRUE AND�COR ECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PREuUME 7p GIVE AUTHORITY TU VIOLATE OR CANCEL THE PRO• <br />VISIGNS OF ANY OTHER STATE OR LOCAL L?`N REGULATING <br />CONSTRUCTIO HE PERFOHMANCE OF CONSTRUCTION. <br />SIGNA'�, UPE UF q qUTHORIZED A�ENT DATE <br />X �� �� - <br />FEE N0. TYPE OF EOUI <br />AIR CCNO. UNITS — H.P. EA. <br />REFRIGERATION UNI7S — H. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TOI <br />FORCED AIR SYSTEAIS — B.7 <br />WALL HEA7ER5 — B.T.U. <br />UNI7 HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTIUITION FAN <br />YARD <br />❑YES ❑NO <br />APPR. FOR ISSUANCE BY <br />AIR <br />BUILDING <br />TOTAL <br />UNIT — <br />8 <br />FEE <br />$ 600.00 <br />U.B.C. <br />SEC. ;03 (a) <br />FEE <br />RECEI� NO. <br />PROPER�Y VALIDATED (IN TI115 SPACE) THIS IS YOUR PERMIT <br />C� <br />0 <br />�asz �006.00.---� <br />N <br />� <br />.��_��.�� R- r,�cciPTn <br />-:'-{;;�!Y 1'pL' <br />