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� <br /> r/1e�'c�iveuF CO NST RU CTIO�' <br /> everett PERMIT pERMIT NO. 1O39Z <br /> CITY HALL 259�87a5 <br /> evEaerr,wn eezoi ❑ COMBINATION � BUILDING �F:MECHANICAL ❑ PLUMBING ' <br /> OWNEA MAqqD0iik55 QiY 21P i'HONE <br /> The Country Peddler 2114 Hewitt Avenue Everett 98201 258-1557 <br /> ARCNITECT OR�CSIGNEB IA4i�qODRE55 GItY 2iP PIIONE <br /> GENEPALGCNtRACTOR MAiIApDRE55 CITY 21P PMONE liCL45C� <br /> Berry Neon Co. Inc. 21027 61st West Lynnwood 98036 776-8835 „ <br /> U.(C11qNICAL(:ONiRACiOfl M4ILADORE55 C�iY 21P PMGqE UCE16E� <br /> BE RR Yfl �$& 247CD <br /> PLUIdBiN3CONiFACtOR MAILApDRE55 GtY ZIP PHONE LiCENSE� <br /> C1A550F WOPK <br /> ❑NEW ❑ADDITION ❑ALT[FATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> E 25�.�� <br /> o�sca�oe woaK <br /> Erect Sign <br /> f�RWCSED USE OF BUILDIp� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �eeh�oescRiPnoNOFrNOPearrisr�oweeio�vonnrrFCHrcuacomcsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS <br /> i.oT oiceK_oF TYPE OF WORK WILL BE COMPLiED 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 /> CONSTPUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> ��OdAD�RESS 9GNAiU ' �FCONiRnQ09CRnUiNOR4E0AGFN1 041E <br /> 2114 Hewitt Avenue X , `f�� �Z <br /> PLUMBING MECHAN CAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> \'JATER CL03ET(TORET) AIR COND.UNITS—HP.EA. <br /> �ATH i U� PEFRIGEHATION UNITS—HP.EA <br /> LAVATOFV pNASN BASINI 901LEP5—NP.EA. <br /> SHO\7ER GAS FIHCD A C.UNITS—TONNAG[EA <br /> KITCH[N SINK 8 DISP. PORC[D AIR SVSTPldS—B T.0 M EA. <br /> �ISH\VASHER WALL HEATERS—0 T.U. M _ <br /> LAUNDRY THAV UNIT HEATF.RS—B.TL M <br /> CLOTHES WASHER LVAPORATNE COUIERS <br /> \NAT[f�HEAiEF CLO7HE5 Ofi"EFS <br /> URINAL VENTILATION FAN <br /> DRINI(ING POUNTAIN 7.4NGE HOOD <br /> F�OOR DPAIN Alfi HANDLING UNIT— CFhI <br /> VACUUM BREhKERS STOVE _ <br /> POOF DRAIYS—�RAINLEADERS METAL FIREPIACE 8 CNIMNEV <br /> SINK�SERVICF—BAR.ETC) <br /> SUB TOTAL SUB 10TAL S <br /> PERMIT S PEPMIT S <br /> TO7AL FEE 5 TOTAL FEE S <br /> dIDE YARD SETBACK STR[ET SLTBACR HEAfi YARD SET�ACK PLAN CHECK NUM�ER PIAN CHECK FEE <br /> FEE A�C[IPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> C!VES I iN0 fEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING t� 250.00 3 00 <br /> SIZE OF�LDG. NO.OF STOF7IES IAAX.OCG LOAD <br /> PLUMBING <br /> FIH[ZONE BASEM[M FIRE SPRINKLERS <br /> REOUIRED MEf.HANICAL <br /> i IVES i NO <br /> APPROVAlS BY DATE OiHER <br /> t, CL'VIRONMENi4LCH[CKUST PENALTV UBC <br /> SEC.309�a� <br /> 2. DUILDING PlANS <br /> TO7AL 3 00 <br /> 3 FIRE HVDRANT �( <br /> 4. FlRE PROTECTION SYSTE67 PERMIT VALIDATION f <br /> WMEN PROPERLY VALIOATED QN THIS SPACE)THIS IS 10UR P[RMIT <br /> 5. GRADING O 9 C � � 0 0 �. O O -- � <br /> 6. DRAINAG: � <br /> Z ENVIRONMEN7AlIMPACT STATEMENT M <br /> p � <br /> 8. HEALTH DISTRICT ��O U R f�EC E I PT � <br /> APPI.ICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCL BY <br /> RF NV LC <br /> i NAN;C YO U <br /> � p <br /> ;��; _�� �kIV �.t�� �� <br />