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`"`' E1.CITYeOF CO' 1 ST R U CTI O N <br />everett PERMIT PERMIT NO. 0�966 <br />CITY HALL 259 8745 I�S <br />EVERETT. WA 98201 ❑ COMBINATION WKBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Component Concepts 3619 Pine Street <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />Simco Sign Corp. 2719 Maple Everett 98201 252-0086 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSED <br />MAIL ADDRESS <br />CITY ZIP <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR []DEMOLITION ❑FENCE XRSIGN ❑GARAGE <br />s 500.00 <br />erect non -illuminated sign <br />PROPOSED USE OF BUILDING <br />commercial <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />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 />CONSTRUCTION THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF C OR AUTHORIZED AGENT DATE <br />X 7/21/80 <br />LEGALDESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLGCK__OF <br />JOB AODRFSS— <br />i3619 Pine Street <br />PLUMBING <br />MEGrANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — 11R EA. <br />-HTUR <br />REFRIGERATION UNITS — H.P. EA <br />_ <br />(WISHBASIN) <br />BOILERS — H.P. EA. <br />I . JWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />_ <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — BT U. M EA. <br />DISHWASHER <br />WALL HEATERS — BT.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLFADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />a <br />SUB TOTAL <br />SUBTOTAL $ <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />$ <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />P.AN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 500. <br />5 <br />00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />EC. 303 (e) <br />2. BUILDING PLANS <br />TOTAL <br />$ <br />00 <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATLD (IN PHIS SPACE) THIS 15 YOUR PERMIT <br />51 17 $ 0 05.00 <br />6% <br />~ <br />YOUR RECEIPT A <br />THANK YOU <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />RB <br />ADDRESS FILE <br />22A80 <br />