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the E��ergreen C � N ST R lJ CTI �i N �� <br />CITY OF <br />e�erett PERM�T PERMIT NO. 0920 % <br />CITY HALL 259�8745 <br />EVERETL VJA 98201 ❑ COM�INATION � BUILDING ❑ MECHANICAL ❑ PLUMBIIJG <br />OWNER MAILADURE55 QTY ZIP PHONE <br />Wash N' Drp 607 South Broadwa_y Eyerett 98203 <br />ARCHITEGT OR �ESIGNER M:.IL A�pR[55 CITY ZIP PHON"e <br />GECERAL WNTRACT011 MAIL A�ORESS CITY ]'^ PHONE LICENSE 1 <br />Simco Sign Corp. %RH%�Xq¢7f�%iSX 2719 hlaple 982 �r. 252-0086 <br />MECNFNICALGONTRPGTOR MFILADDRESS CITV IIP PHONE LICENSE/ <br />PLUMBINGCANTFACTOF I.IAILAGDRERS CITY ZIP PMUNE LICENGE� <br />❑NEW ❑ADDITION ❑AITERATION ❑REPAIR ❑UEMOLITION ❑FENGE }(�.SIGN ❑GARAGE <br />VALUATION OP WORK <br />s 4,000. <br />OESCRIdE WOPK <br />LOT BLOC�OF <br />JOB A�DFESS <br />607 South Broadway <br />PLUMBING <br />NO. , TYPE OF FIXTURE <br />WATER CLOSET (�OILET) <br />BpTHTUB <br />L4VATORY (WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. _ <br />DISHWASHER <br />L4UNDRYTRAY <br />CLOTHES WASHLR <br />WATER HEATER <br />URINAL <br />ORINKING FOi1NTAIN <br />FLOOR DRAIN <br />VACUUM �REAKERS <br />ROOF DRAINS — RAINLEADERS <br />SWK ISERVICE — BAR EfC] <br />SIDE YARD SETBACK STREET SETBACK <br />USEZONE LOTAREA <br />TYPF. OF CONST. OCWPANCY GROUP <br />NO. OF S70RIES <br />APPROVALS <br />1. ENVIRONMEN7ALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTEC710N SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACT�TATEMENT <br />0. HEALTII DISTRIGT <br />APPLICPTION ACC. BY PLANS CHECKED BY <br />RF <br />I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS AP- <br />iOUNCOFIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERMING THIS <br />TYPE OF WORK WILL RE COMPLIED WITH V✓HETHER SPECIFIED <br />HEREIN OR NOT. TI�IE GRANTING OF A PERM!T D��ES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHEF STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />$IGNATUPE O��R OR AUTMOflRED PGENT �� OA�E <br />5/4/81 <br />FEE <br />FEAR YAR� SETBACK <br />❑YE3 <br />L�iL�:! <br />APPR. FOR ISSUANCr BY <br />BAB <br />NO.� TYPE OF <br />AIR COND. IINITE — H. <br />BOILERS — HP. EA. <br />GAS FIRED A.C. UNITS — TONN <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — B,T.U. <br />UNIT HEATERS — B.T.II. <br />AIN HAP!DLING UNIT — <br />METAL RREPLACC & CHIMNEY <br />EA. <br />C.F.h1. <br />NUMBER I PLAN CHECK FEE <br />FEE 1 RECEIPT NO. <br />$ 4000. <br />U.B.C. <br />SEC. 3031a) <br />15 I 00 <br />15 � 00 <br />PRC?F.RLY VALIOATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />i5:s Q015.00 — � <br />N <br />� <br />'• ^ .C,��Y'T O <br />` I U <br />