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��eE,��,�.�� � �ONSTRUCTIOI� � <br /> GTV OF <br /> everett PER�IIIIT PERMIT NO. 1f298 <br /> crcr H���naer�s <br /> EVEREfT,WA 98201 ❑ COMBINATION �j(I BUILDIN(i ❑ MECHANICAL ❑ PLUMBING <br /> OMMER M�II�DDRE55 CITY ZIP VMONE <br /> NOVILLA POMELL 2921 OAKES EVERETT WA 98201 258-6281 <br /> A NITECT R NE M�I��DDRESS CITY ZIP PNONE <br /> OENERAL CONTR�CTOR MFIL ADDRE55 CITV ZIP PHONE LICENSE� <br /> CITY SIGN SERVICE PO BOX 2217 EVERETT WA 98203 339-2644 CITYSSI158UK <br /> MECM�NIC�L GONTR�GTOR MAIL ADDRESS GTV ZIP PMONE LILENSE� <br /> PLUMBING fANTRACTOR MAIL ADDRE55 f,ITY ZIP PNONE LICENSE I <br /> Cl�SS OF WpRN <br /> C.�NEW ❑ ADDITION ❑ ALTERA710N ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WONK <br /> f 9��.Q0 <br /> DESCFIBE WORK <br /> Install flag mount sign (iiluminatea) <br /> PROPOSED USE OF BUILDING <br /> Bl uepri nt ShOp I HEREBY CERTIFY"HAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANr� KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESCRIPTION OF PHOPERTY�SHOW BELOW OR ATTACH FOUR COPIES� CORRECT. AlL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocn_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO NCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNATU CONTR TOR OR AUTN ED AGENT ATE <br /> 2921 Oakes X /C- �o <br /> PLUMBINO MECNANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS- H.P. EA. <br /> BATIiTUB REFRIGERATION UNITS- H.P.EA. <br /> LAVATORY�INASH BASIN) BOILERS- H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS- TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRV TRAY UNIT HEA7ERS- B.T.U. M <br /> CLOTHES WASHEP EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DHYERS <br /> URINAL VEN7ILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS S70VE -WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT <br /> I <br /> HEA7 PUMP <br /> SUB TOTAL i SUB TOTAL S <br /> PERMIT S PENMIT S <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE VARD SETBACK STREE75ETBACK REAH YAPD SE78ACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . .YES ..NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANGY GROUP NO. OF OWELLING UNITS <br /> SIZE OF BLDG. IJO.OF STOFIES MA%.OCC.LOAD DUILDING �900.OO 6 OO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY DATE OTHEFi <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.903�al <br /> 2.BUILDINGPLANS () OO <br /> 3.FIRE HVORANT TOTAL <br /> t,FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED pN TMI�SPAC�I TH15�1S�1V0�19 P¢R�IT_ `_� <br /> . i � � �� t) <br /> 6.DRAINAGE Maximum projection of 10 ft but not �: �� <br /> 7.ENVIRONMENTALIMPACTSTA7EMENT closer than 5 ft to face Of curb. <br /> 1_ � <br /> 8.HEAITM DISTRICT � �_. L I i� I � ' <br /> APPLICATION ACC. BV PLANS CHECKEO BY APPR.FOR ISSUIINCE BV � ' � - <br /> � . . �. �� �._ �� <br /> � �. �d i� U O <br /> ADDRE55 FILE <br />