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. 1 <br /> (heEvcrgrcen '�� ��O�,STRUCTION ��� � <br /> CITY OF <br /> everett �ERMIT PERMIT NO. O?Z2H <br /> CITY HALL 259�8745 <br /> EVEFETf,WA 98201 ❑ COMBINATION ❑x BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEfl MAl1.ADDRE55 CITY ZIP PMONC <br /> Liquid Air 2202 Everett Ave. <br /> ARCHIiECTORDE5IGNER MAILADDRESS CITY 21P PHONE <br /> GENEPAI CANTRACTOR MAIL ADDRE55 CITY ZIP PHONE LICENSE� <br /> ill76XSYEj![ Simco Sign Corp. 2719 Maple Street 252-0086 <br /> MEGMANIGAIfANTRACTOR MAILAD�PE55 CITY 21P PMONE L�CENSEI <br /> PLUMBINGGONTRACIOR MAILADDRE55 G7V 21P PNONE LICENSEI ' <br /> CLASS OF WORH <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑F7EPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> ( 4��.00 <br /> DESCRIBE WORK <br /> erect illuminated sign <br /> PNONSEO USE OF OUII�ING <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDES,RIP110NOFPROPENiY1SHOW0ELOWOPATTAGHFOURCAPI[S� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior o�ocrc_oF TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORtv1�NCE OF CONSTRUCTION. <br /> SiGNPiURE OF �OF OR AUiNORIZED AGENi OATE <br /> JOB ADDRESS Z�LZ�HO <br /> 2202 Everett Avenue X �� � - ---•----�—�� <br /> PLUMBINO ECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET R�ILEn AIR COND.UNITS—HP.EA. <br /> BATHTUB REFPIG[RATION UNITS—H.P.EA <br /> IAVATORV(WASH BASIN) �OILERS—H.R EA. <br /> SHOWER GAS FIRED AC UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALL H[AtENS—B.LU. M <br /> LAUNDRY TfiAY UNIT HEATERS—B.LU. M <br /> CLOTHES WAS'IER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DFYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOCD <br /> FLOOR DRAIN AIR NANDLING UNIT— C.F_M. <br /> VACUUM BREANEPS STOVE <br /> ROOF DRAINS—FAINLEADERS MEiAL FlREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTAI SUBTOTAL 5 <br /> PERMIT S PERMIT f <br /> TOTALFEE f TOTAL FEE S <br /> SIDE YARD SEiBAGK SiREETSGiBACK REAR YARD SETBACK PLAN CH[CK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAN7 SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNILS <br /> BUiLDING s 400.00 3 00 <br /> SIZE OF BLOG. NO.OF STORIES MAJ(.OCC.LOAD — <br /> PLUMBING <br /> FIRE ZON[ BASEMFNT FIRE SPRINKLERS MECHANICAL <br /> R[OUIRED <br /> f7YES ❑NO <br /> ppPpOVALS 8Y DATE O7HEq <br /> L ENVIRONMENTAL CHECK LIST PENALiV U B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS 3 OO <br /> TOTAL <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(iN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING o Q^Q' <br /> 6. DRAINAGE o � ' � S 0 O �. O O �^`y � <br /> 7. ENVIRONMEN�AL IMPACT STATEMENT N <br /> � <br /> B. HEALTH DISTRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FORH I�SBSUANCE�Y Y4 U R R E C E!PT� <br /> TN:��NK YOU <br />