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the Et'OTYOF <br />F- �ONSTRUCT10K <br />- <br />everett <br />PERMIT <br />PERMIT NO. 12727 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />❑ COMBINATION Bac BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP PHONE I <br />Interior Floors <br />9610 Evergreen Way Everett <br />355-6555 <br />ARCHITECT O' DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE N <br />Berry Neon Co. <br />Inc. 21027 61st West Lynnwood <br />98036 776-8835 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP 247 PHONE LICENSE# <br />_ <br />BERRYN83RLD <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE # <br />cuss ur wunn <br />❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE {}(SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />$ 850.00 <br />CI CIiL 111U11LLIIGlLCLL b1�fL <br />PROPOSED USE OF BUILDING <br />I HEREBY 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 />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT -BLOCK -OF <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 />PERF R ANCE OF CON UCTIO . <br />SIGNAT RE F CONTRA OR A )ZED A T DATE <br />JOB ADDRESS <br />9610 Evergreen Way <br />X�R <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIDREA.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATERHEAT ER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />$ <br />SUB TOTAL 5 <br />PERMIT <br />Si <br />I <br />PERMIT $ <br />TOTAL FEE <br />S <br />1 <br />1 <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />-.YES ENO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$850.00 <br />6 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />MECHANICAL <br />OTHER <br />❑YES ❑NO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (al <br />2. BUILDING PLANS <br />6 <br />00 <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION '1 SgA&9 <br />---'i <br />WHEN PROPERLY VALIDATED (IN THI THISCIQ <br />5. GRADING <br />YOUR RECEIPT.; <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />THANK YOU <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />RF <br />LC <br />'1SIm 6 <br />ADDRESS FILE <br />L <br />