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� <br /> ; <br /> theEvergreen CO STRUCTION <br /> �� <br /> GTY OF <br /> everet� PERMIT PERMIT N0. 07967 <br /> CITV HALL 259�8745 <br /> � EVEtiETT.Y/A 98201 ❑ CJMBINATIO't ❑ BUILDINO ❑ MECHANICAL PLUMBINCi <br /> OWNER <br /> MAIL AD�RE55 GTY 21P FNONE <br /> Reatatlrant 1011 Hewitt �in, ZiP pHONE <br /> � AqCHITEGTOROESIGNER MFRAOWESS <br /> Iy p�p� IICENSE/ <br /> GENEMLCONTMCTOR MMLADORESS E�reLL 9��06 ZSZ_VVO6 <br /> Simco Sign Corp. 2719 Maple <br /> MECNaNICnL CONTMGTOR MAI�A"1DN655 CITY ZIP PHONE LICENSE� <br /> SI MC OS C272P3 <br /> PLUMBING CONtRACTOP <br /> MAIL ADDPESS Cltt SIP PHONE UGENSE I <br /> ClASS Oi Y/ORK <br /> GNEW ❑ADDITICN C�.�LTERATION CREPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GAN�GE <br /> VAL�ATION OF WORK <br /> f 110�.�� <br /> DLSCRIBE WORI( <br /> erect illuminated sign __ <br /> PROPOSED USE OF BUiLDING <br /> commercial I HEREBY CERTIFY THAT '� HAVE READ AND EXAMINED THIS AP- <br /> IcWL�ESCaIPIIONOFPBOFEP7Y�SHOW BELOWORATT�G`1FOUF.�,��ES; PLICATICM AND KNOW iHE SAME TO BE TRUE AND CORRECT. <br /> � ALL PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�ceK_oc TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THC GRANTING OF A PERMIT DOES NOT <br /> P SIONS OF�ANY OTHER BTATEOOR OCA�L LAW REGULATI G <br /> CONSTRUCT�O R THE "ERFORMANCE OF CONSTRUCTION. <br /> � S�GNATU �OR OR hUt10RIZED AGENT �PTE <br /> �oe nooaess X 7/21/80 <br /> 1011 Hewitt Avenue <br /> PLUM81N0 CHANICAL <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE 0�E�UIPMENT FEE <br /> WATEf.CLOSET(TOILET) AIR COND.UNITS—�'.F.EA. <br /> _ BATHTUB �. ._ PEFRIGERATION uNITS -H.P.EA <br /> LAVATORY ryJASH BASIN) BOILCFS—HP EA <br /> � SHOWER � GA�F�aED AC UNITS—TONNAGE EA. <br /> _ FOGCLD A�R SYSTEMS—6.T.U. M EA. <br /> KITCHEN SINK R DISP. <br /> . WALI HEATEFS—B,T.U. M � <br /> DISHWASHER — M <br /> UNIT IIEATEFlS—B.T l <br /> LAUNDRY TMY — <br /> CLOTNES WASHER _ cVAP.`FATNE COOLER`._ <br /> + WATER HEATER CLOTHES DRYEHS __ <br /> VENTIi qTION FAN <br /> 4 URINAI � pqNCS HOOD _ <br /> ORINKING FOUNTAIN <br /> FLOOR DRAIN 4�A N=N�LING UNIT— C�����- <br /> RTOV[ <br /> VACUUM BREAKERS — — <br /> WETAL FIREPLAQ JHIMNEV — <br /> ROO�DRAINS—RAINLEADERS -- <br /> SINK(SERVICE—BAR.ETC.) - <br /> SUB T0TI1L — <br /> SUBTOTAL s <br /> PERMIT t __' , PEHMI7 = <br /> TOTALFEE f TO7A�FEE S <br /> RE4A VARD SETBACK PIAN CHECK nUMBER PLAN CHECK FEE <br /> SIDE YARD SETBA::K STREET SETBACK �Er I RECEIPT NO. <br /> USE ZONE LOT AREA VA:AN7 SITF FEES VAlU�T10N FEE <br /> ❑YES ❑NJ <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING E 1100.00 9 00 <br /> SIZE'JF BLOG. N0.OF STORIES M'�(.OCC.�OAD <br /> PLUMBING <br /> fIRE ZONE EASEMENT FIPE Sr iINNIERS MECH4NICAL <br /> i cOUIF :D <br /> CYES ❑NO / <br /> AVPROVALS <br /> BY DATE OTHER ; <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B.C. � <br /> SEC.303(a) <br /> 2. BUILDING PIANS T�T�� 9 00 <br /> 3. fIRE HVDMNT <br /> PERMIT VALIGATION <br /> �. FIRE PROTECTION SVSTEM WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GMDING Sign Shall not be cl�s�� �an��tQ�;"T,' � <br /> fi. DM�NAGE face o cur . � <br /> ). ENVIRONMENTAL IMPACT STATEMEN� � <br /> 8. HEhl1H DISTRICT 1'�� U R R[C E I PT o <br /> APPLIGTION ACC.BY PLANS I��HECKED BV APPR.FOR ISSUANCE BY ��I���L`���� Y G U � <br /> BAB <br />