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,tieE,.c�,��° � -, .�;pNSTRU�TION- _ <br />ev��rett PERMIT PERMIT NO. �6245 <br />CIT'! HAIL 259�8745 <br />EVcRE'fT,WA9020t � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AODRESS CITY ZIP PHONE <br />Gatrison': Fa to <br />ARCNITEGT Ofl OESIGNEN MAIL A�� e55 CITY 21P PNONE <br />GENERAL CONTRAGTOR MAIL AOORESS CIiV ZIP PHONE LICENSE M <br />Berrv Neon Inc P.O. Rt�x 57fi4 - * <br />MECNANILAL CONIRAGTOR MAIL A�DRE55 IiY ZIP PHONE LICENSF M <br />PLUMBING CONTRACTOR MAII. ADOflESS CITY 21P PHONE UCENSE N <br />O NEW ❑ ADDITION (�j{ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />52190 _ <br />OESCRIBE WORK <br />Reface existing 8'x10' D. F. Illuminated Sign & Move 30' North Into Wxisting Base <br />t�bile Home Saies <br />L07_BLOCK_OF <br />JOB NO�iiE55 <br />9129 Evergreeru�.p WaY <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATERCLOSE7(701LEn <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAIPlLEA�ERS <br />SINK�SERVICE — BAR,ETQ) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE YAFD SETBACK S7REET SETBA <br />USE ZONE LOT AREA <br />TYPE OF CONST. OGCUPANCY G <br />SIZE OF P.LDG. NO. OF ST�]RIE <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1.:�NVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />7. FIR: HYDFANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DPAINAGE <br />7.ENVIRONMENTALIIAPAC7STATEMENT <br />8. HEAL7H �ISTRICT <br />APPLICATION ACC. BY PLANS CHE( <br />COPIES� <br />� <br />S <br />S <br />REAR <br />'.-:YES �.-:NO <br />MAX. <br />YF <br />9Y <br />BY APPR. FOR ISSUAVCE BY <br />Elec. NV <br />I HE!1EBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORPAANCE OF CONSTFiUCTION. <br />SIGNaTURE OF CONTRACTOR OR FUTMORIZED AGENT DATE <br />X <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNI7S — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOIIERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUMP <br />PLAN CHEGK <br />SUB TOTAL <br />PERMIT <br />TO7AL FEE <br />FEC <br />S <br />S <br />S <br />rcc <br />RECEIPT NO. <br />FEES � VALUATION � FEE <br />BUILDING I 52190.00 I 12� 00 <br />PLUM6ING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL I � 12I00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VAl IDATED (IN TMI�S � 2 C��EI THI 415JYQUf1 P�R�.117 ' <br />11 U , <br />�. �. _ �.�� � . . <br />� I" I' �� <br />Sign to be all on privat.e property. <br />j " ,...'� , <br />c: n <br />ADDRE55 FILE <br />