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die £��er�reen <br />CRY OF <br />everett <br />GTY HA.:. 259�8745 <br />EVERETi, WA 98?01 <br />� �or�s-rRuc-rior� <br />PERlVIIT PERMIT NO. 1=���j� <br />❑ COMBINATION G�t BUILDING ❑ MECHANICAL ❑ PLUf�iBINu' <br />O�YNER ��NL 4DORE55 GTY ZIP PHONE <br />City of Everett 3002 47etmore Everett 98201 259-9728 <br />ARCHRECT OR OESIGNER MAIL ADDRE55 GTY 21P PHONE <br />GENERAL CONTRACTOR MAIL ADOPE55 CITY ZIP PHOHE LICENSE N <br />Signage, Inc. 9806 56th N.E. Marysville 98270 659-2200 <br />MECHANICAL C�NTRAGTON MAIL AOOFE55 CITY 21P PMONE �ICENSE N <br />SIGNAI 158 KI <br />PLUMBING GONT�f.:.IOR MAIL AOOflE55 CITY ZIP PMONE UCENSE X <br />❑ NEW O ADDITION ❑ AL7ERATION O REPAIR ❑ DEMOLI710N ❑ FENCE �(S���N ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />S �2�%.0� <br />One free Standing I D <br />JPOSEO USE OF BUILDING <br />Library <br />�or <br />J09 ADDRESS <br />9520 Evergreen <br />PLUMBING <br />for <br />Non-illuminated <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRIiE AND <br />ORATTACHFOURCOPIES) CORAECT. 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 STPTE OR <br />LOCAL LAW REGULATIN� CONSTRUCTION OR THE <br />PEFFORMAMCE OF.�CONST UCTION. <br />SIGNAiURE OF� NT C�OROR A OR2E0 AGENT DATE <br />X � �_/ i - �,�•.�li� <br />TYPE OF FIXTUNE OR ITEM <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDhYTRAY <br />CLOTHES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />':AGUUM BREAKERS <br />ROOF DRAINS - RAINLEADEFS <br />SINK (SERVICE - BAR, ETC.) <br />PEHMIT <br />TOTAL FEE <br />r[q.• <br />OF <br />FIRE ZONE <br />APPROVALS <br />7. EN'JIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE HYD'riANT <br />4. FIRE PRO7e<:TION SYSTEM <br />S.G�iADING <br />6.DRA!NAGE <br />7.ENVIRONMENTALIM�'ACT:;T�TEMENT _ <br />8. HEALTH DISTRICT <br />APPLICATIPN ACC. 6Y PLANS CHECKED BY <br />FEE NO. TYPE JF EOUIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />REFFIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TJNNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - H.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGtHOOD <br />AIP HANDLING UNIT - C.F.M. <br />STOVE -- WOOD <br />METAL FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />, HEAT PUMP <br />� <br />S <br />S <br />REAR YARD <br />❑1ES NO <br />REOUIRED <br />:-_YES -. NO <br />UY D11TE <br />APPR.FORISSUANCE <br />L.C. 1/2/86 <br />SU6 TOTAL 5 <br />PERMIT 5 <br />TO7AL FEE 5 <br />FEE I RECEIPT NO. <br />Vl.LUATION I FEE <br />6UILCING I S ].iO%. <br />PLUMBING <br />MEr �qCAL <br />OTHER <br />PENALTV <br />rora� I I 9 � 00 <br />PERMIT �ALIDATION <br />WH�N P�OPFRLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ((� <br />Sign tu be all on Private Prope�': . � <br />���o �00�.�0—�'1 <br />ri <br />��DDRF_SS FILE <br />I r � ; ! <br />�i <br />z <br />0 <br />� <br />(") <br />m <br />.� �. <br />-i -n <br />�� <br />�n x <br />m <br />O <br />�o <br />m� <br />-i c <br />O 3 <br />m <br />_ -�i <br />m <br />� <br />O 2 <br />C <br />a -i <br />r x <br />� .-� <br />-I N <br />� <br />�'I <br />O .� <br />�a <br />3 <br />-i m <br />rn .� <br />N <br />O <br />o r <br />c'� m <br />3 N <br />m <br />Z n <br />-1 r <br />• m <br />a <br />� <br />--i <br />2 <br />A <br />Z <br />1 <br />2 <br />N <br />z <br />O <br />� <br />n <br />m <br />