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the Evergreen • CWSTRUC,TION *I <br />�.p <br />CITY OF �A <br />evePERMIT PERMIT NO.07362 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CIT, ZIP PHONE <br />A, Ness King Store N36 Everett Ma I, FT erett <br />MAIL ADDRESS CITY ZIP PHGNC <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE/ <br />GENERAL CONTRACTOR <br />Berry eon Sign <br />Co. 21027 - 61sr <br />W_ _ T_ v_-Ind <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />Clly ZIP <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSEI <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑4LTERA'iION ❑REPAIfl ❑DEMOLITION El FENCE [ySIGN ❑GARAGE - <br />500.00 <br />E WORK <br />+ol1 ei ,, <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ r,ND'cXAMINED THIS AP- <br />PLICAT ION AND KNOW THE SAME 10 qL -mUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANILES GOVERNING THIS <br />LEGALUESCRIPTIONOF PROPERTY(SHOW BELOW OR ATTACH FnUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED )VI NHEIHER SPECIFIED., <br />LOT -BLOCK -OF <br />HEREIN OR NOT. THE GRANTINh PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO V'I. ' .' F JR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OF. _-.i(iAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />y <br />SIGNATURE OF CONT ACTOR OR THORIZED AUENT DATE <br />Xn- <br />JOB ADD ESS <br />+51-H r wav Everett <br />Mall H' <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF E_OUIPME T <br />FEE <br />WATER CLOSET (TOILE?) <br />AIR CONO. UNITS — H.P. EA, <br />REFRIGERATION UNITS— H.P. EA <br />BAT14_TUB <br />8OILEIiS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />KITCHEN SINK 8 DISIR <br />WALL HEATERS —BT.U. M <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />S <br />MTOTALFEE <br />TAL <br />SUBTOTAL <br />$ <br />T <br />5 <br />PERMIT <br />>• <br />FEE <br />S <br />TOTAL <br />FEE <br />9 <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />LAC ANT SITEONO <br />FEES <br />VALUA'iION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING UNITS <br />BUILDING <br />s 500.00 <br />5 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT�t <br />FIRE KLERS <br />REQUIREDIN <br />I MECHANICAL <br />^YES ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />— <br />PENALTY <br />U.B.C. <br />SEC. 303(B) <br />2. BUILDING PLANS <br />TOTAL <br />E_:E50 <br />3, FIFE HYDRANT <br />4. F;mi. PRO-iECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR <br />UO O 0 PERMIT5. o O �iV <br />_ <br />5. GRADING <br />LL <br />6. DRAINAGE <br />— <br />Cn <br />YOU RREC'F.IP'� <br />7. ENVIRONMENTALIMPCTSTATEMENT <br />E. HEALTH DISTRICT <br />THANK YO u <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />24UARE0 <br />ADDRESS FIL <br />