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1" <br />� �� <br />"" '��T�`�F CONSTRUCTlC-"V <br />�verett PERMIT PERMIT NO. 1.3OS7 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMF3INATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OINNER MAIL ADDRES: CITY ZIP PHONS <br />Flanders Auto Parts 9740 Evergreen Wav Everett 98204 <br />ARCMITEGTOIlOESIGNER MAILAODRE55 CITV 21P PHONc <br />GENERAL CONTRACTOR MAIL AD�RESS ���Y ZIP PHONE LICENSE X <br />Simco Siqn Co. P.O. Box 68 Everett 98206 252-0086 <br />MECHANICAL WNTRACTOR <br />MAIL AODPESS CITY 21P PHONE LICENSE M <br />PLUMBING CONTRFCTOR MAIL AOOflE55 CITY ZIP PMONE LICENSE N <br />❑ NEW ❑ ADDITION <br />VALUATION OF YIORK <br />f rJ20.�� <br />DESCRI6E WORK <br />Install illuminated si <br />PROPOSED USE OF BIIILDING <br />LEGAL �ESCRIPTION OF PROPERTY �SNOW BE <br />LOT_BIOLK_OF <br />JOB AD�RESS <br />9740 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILEf) <br />BATH7UB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />NJATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAINLEAOERS <br />SINK (SERVICE — BAR, ETG.) <br />O AL7ERATION O REPAIR ❑ DEMOLITION ❑ FENCE }{� SIGN ❑ WOOD STOVFJFIR[PLACE INSERT <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 />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT NRESUMETO GIVEAUTHORITY TO VIOLATE <br />OR CANCEL THE PROVIS�fJ NS OF ANY OTHER STATE OR <br />LOCAL L�4W R�GUJeAi'ING CONSTRUCTION OR THE <br />FEE � N0. <br />SUB TOTAL S <br />PERMI7 5 <br />TOTAL FEE 5 <br />'�EET SETBACK REAR YARD S <br />� AREA VACANT SITE <br />S:YES C:NO <br />:UPANCY GROUP NO. OF DIVEL <br />SIZE OF BLDG. rvo. or sium <br />FIRE ZONE BASEMEN7 <br />APPpOVALS <br />1. ENVIPONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />r 6.DRAINAGE <br />�� 7.ENVIRONMeNTALIMPACTSTATEMENT <br />8. HEALTH �ISTRICT <br />APPI IGATION ACC. 8Y PI.ANS CHE <br />AGENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FOFCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOFtATIVE COOLERS <br />CLOTHES �RYERS <br />VENTILATION FAN <br />PANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSER� <br />HEAT PUMP <br />CHECK <br />rtt <br />SUB TOTAL S <br />PEfiM1T f <br />TO7AL FEE S <br />PLAN CHECK FEE <br />FEE � RECEIPT NO. <br />FEES I VALUA710N I FEE <br />BUILDING <br />Q LOAD <br />PLUMBING <br />iINKLERS MECHANICAL <br />:D <br />LNO <br />DATE OTHER <br />PENALTY <br />APPR.FOR <br />S 520.00 <br />U.B.C. <br />SEC. 303 (a) <br />� �� <br />TO7:L I I S I 00 <br />PEFMIT VALIDATION <br />WHEN PROPERLY VPLIDATED QN THIS,S�qEN THIS f'y L'D9R�EBA� --�� <br />y b � <br />� <br />, !,� RrCi�IPI� <br />';';NI: Y�: U <br />ADDRESS FILE <br />i 5 �,;;e s a <br />J <br />