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theEvcrreoF ^ Cr'NSTRUCTION � � <br />everett PERMIT PERMIT N0. OHZOO <br />CITY HALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBINATIQN ❑ BUIL.DING ❑ MECHANICAL ❑ PLUMBING <br />�OWNER MAILAD�PESS CIiY ZIP PMONE <br />MOTHER & DAUGHTER FLORIST 9107 E'/ERGREEN WAY EVERETT <br />ARCHRCCT OR DESIGNEfl MAIL PDDRE55 CIiV 21P PMONE <br />�.:PAL CANTFACTOR MAIL AOORES$ pTY ZIP PHONE UCENSE � <br />MECNANICAICANTRACTOR MAILAO�NE55 CITY ZIP PMONE LICENSEI <br />SIMCO SIGN CORP. 2719 MAPLE EVERETT 252-0086 SI—ML—OS C2727 P3 <br />FWMBINGCONTRACTOR MAILA�ORESS CITY ZIP PHONE LICENSE� <br />CLASS <br />❑NEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑DEMO:ITION ❑FENCE QSIGN ❑GARAGE <br />s 800.00 <br />DESCRIBE WORK <br />SIGN <br />LEGNL DESCRIPTION OF PROPEflTV �SHOW BELOW OR ATfACH <br />LOT BLOC�_OF <br />9107 EVERC <br />PLUMBINO <br />N0. TYPI <br />WATER CLOSE7 p <br />BATH7UD <br />LAVATORY(WASF <br />SHOWER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUN�RY TRAY <br />CLOTHES WASHE <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNI <br />FLOOR ORAIN <br />VACUUM BREAFE <br />ROOF DRAINS — <br />SINK BERVICE — <br />STREETSETBACK <br />USE ZONE <br />NO. OF STORIES <br />FIRE ZONE <br />ITEM <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTA7EMENT <br />H. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />� <br />FEE <br />REAR YARD <br />❑YES ❑NO <br />NO.OF DWELLING <br />APPR. FOR ISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />°LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />T}•pE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO HE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUFE OF R' AUtMOPREO AGENT DATE <br />i� �_ ��n_o_on <br />AIR COND. UNITS — H.P. I <br />REFRIGERATION UNITS — <br />BOILERS — H.P. EA. <br />.�.. urvua— i�rvrvH�e v+. <br />SYSTEMS — B.T.U. M <br />RS—BT.U. M <br />IS — B.TL M <br />AIR HANDLING UNIT — <br />MECHANICAL <br />OTHER <br />PENALN <br />FEE <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />$ 800.00 � 6 � o0 <br />U.B.C. <br />SEC. 303 (a) <br />.'""" � � 6 �00 <br />PEHMIT VALIDpTION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />7462 $006.00:: � <br />N <br />� <br />;'.'�!.i1 R- f�ECClPT�' <br />' � ! ;��Y. Y'CU <br />ADDRESS FILE <br />-9si�8G <br />