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, <br /> !he£vergreen � CANSTRUCTION � ��! ' <br /> CITY OF <br /> everett PERMIT PERMIT N0. 0�7�.4 <br /> CITY HALI 259�8745 <br /> [VEF��T,WA 9N201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEH MAILADDRE55 CIIY ZIP PNONE <br /> Gilpin Realty 2803 Maple <br /> qa:;11rtECTORDEbIGNER MAILAUOR[55 pTY 21P PNONE <br /> GENEMI fANTPACTOR MAIL RD�liESS CITV ZIP PHONE UCENSE I � <br /> Simco Sign Corp. 2719 Maple Everett 98201 252-0089 � , <br /> MECHl.NICAI WNiFACTOR MAIL ADORE55 QTY ZIP PMONE UCENSE� <br /> SI ML OS C272P3 � DAILY WORK REPORT - <br /> PLUMBING fANTRACTOR MAIL ADpPhSS QTY 21P PHONE UCENSE� <br /> EVERETT WATER DEPARTMENi' <br /> CLASS OF WORK <br /> ❑NEW ❑AODIT!ON ❑ALTERATION ❑NEPAIR ❑DEMOLITION ❑FENCE j�51GN ❑GARAGE LOGATION � S�Q 3 I� <br /> VALUATION OF WORN . _ I <br /> f 800.00 i W'�' DATE <br /> OESGR�BE WOPK <br /> erect non-illumir.ated sign MATERIALS US[D <br /> PROPOSED USE OF BUIIDING NAOUNT DESCRIPTION � <br /> commercial I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS AP• i� <br /> LEGAL OCSGRIPTION UF PROPEATY�SHOW BELOK'OR ATTACII FG'JR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL �n i?OQf-� <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS � ���r L <br /> ior oiar�._oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT / '�j '� , � <br /> PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE PRO• --L <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING � ° — <br /> CONSTRUCT N OR THE PERFORMANCE OF CONSTRUCTION. � C <br /> SIGNATUR� i0B0��nGENi � A?E � �/ <br /> 39 a r c a � _�l <br /> JOB ADDNE55 O Q f _� <br /> 2803 Maple X ' _� � L 3�—� <br /> PLUMBINQ MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE � ��n �he��P � U <br /> W/.TER CLOSET(TOILEn AIR COND.UNITS–H.P.EA. � ��� ' <br /> BFTHTUB REFRIGEIiAT10N UNITS–H.P.EA �� <br /> - -L �� OZ� <br /> LAVATORY(WAFA BASIN) BOILERS–H.P.EA. � � <br /> SHOWER GAS FIREU AA.UNITS–TONNAGE EA ____I • � <br /> KITCHEN SW(8 UISP. fURCED AIR SYSTEMS–B T.U. M EA. P�G�REPORi � <br /> DISHWASHER WALL MEA7ER5–B.T.U. M _ __ _ _ <br /> L4UHDflY TRAY UNIT HEAfERS–O.7.U. M AMOUNT – <br /> i EVAPOPATIVE COOLERS –�L� DESCRIPTION <br /> CLOTHESNASNER --7– J/tj"� <br /> WATER HEATSR CLOTNES DRVERS _ �/ <br /> URIHAI VENT�LATION FAN 1� � � `'S . f /� <br /> ORINKING FOUNTAIN RANGE HOOD � <br /> � J , <br /> : FLOOR DRAIN AIR HA.NDUNG UNR– C.F.M. � ��,�� �� � <br /> O/) <br /> YACUUM BFEAKERS SiOVE q �/� /// <br /> ROOF DRAINS–RAINLEADERS METAL FIREPLACE 8 CHIMNEY �QJ V� C��J�{S� /(�/J _� <br /> ' SiiJ%(SERVICE–BAR.ETC) <br />�� '' S. J �' ,x. <br /> l� � Moo � r' <br />� SUS TOTAL SUB TOTAL f � =� `I I <br />�.i� PERMIT t PERMIT S — __ <br /> j� TOT�L FEE t TOTAL FEE f _ �� / <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SET�ACK PLAN CHECK NUMBER PLAN CHECK FEE <br />� FEE RECEIPT NO. - <br /> USE ZONE LOT AREA VACANT SITE REMARKSi ��,.� <br />� ❑YES ❑NO FEES VAIUATION FEE � '–"jL_�,'%� ��� � <br /> TYPE OF CANST. OCGUPANCY GROUP NO.OF DWELLING UNITS /���� <br /> BUILDING s 800.00 6 00 <br /> SIZE OF 6LDG. N0.OF STORIES MN(.OCC.LOAD <br /> PLUMBING 1 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS " 3---- FOREMAN <br /> REOUIRED MECHANICAL °�^ ���e.= u�*i u. v�� . cv�n�rr <br /> OYES ❑NO <br /> APPNOVALS SY DATE OTHER <br /> 1. ENVIRONMCNTALCHECKLIST PENALTY L'.B.C. <br /> SEC.303(a) <br /> I 2. BUILDING PLANS TOTAL 6 00 h <br /> � <br /> 3. FIRE HYDRANT , <br /> 4. FIRE PHOTECTION SYSTEM PERMIT VALIDATON <br /> WHEN PROPERLV VALIDATED(IN THIS SPACEiTiIS�leYOUR�E�M1}J�.a O � � <br /> 5. GRADIN� U <br /> J J 7 7 i <br /> 6. DRAINAGE � , �--� <br /> 7. ENVIRONMENTAL IMPACT STATEMEN7 � � � <br /> B. HEALTH DISTRICT YO U R RECf� 1 <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � �,�p,,�1 K Y� �" "� <br /> � L.C. � . . �. <br /> � 2 �� �Y ' <br /> ADDRESS FILE ' .... <br /> . ! <br /> - o` - - <br />