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� <br /> d;e£rerXreen <br /> everett � '�ONSTRUCTIO �� � <br /> PEFiMIT P�RnniT �vo. 14651 <br /> CITY HALL 259-8745 <br /> �� EVERET7,WA98207 ❑ CCiMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEfl IdA1LADDRE55 CIiY iiP PMONE <br /> Everett Kawasaki 5701 Evergreen Way Everett 98203 397-6801 <br /> ARCMITEGT OR pE51GNEfl MAIL ApDRE55 GITY ZIP PHONE <br /> GENERAL GONTRACTOR MAIL ApDRE55 CITY ZIP PNONE LICENSE• <br /> Tube Art Signs 2719 Maple Street Everett 98201 252-0086 <br /> � MEGHaNICAL CONTRPCTOR MAIL A�DRE55 CITY 21P PHONE LILENSE I <br /> TUBE ASI 161 6 M <br /> PLUMBING GONTRALTOR MAIL AOPRE55 GITY ZIP PMONE UCENSE� <br /> CL45S OF WORK <br /> LAK7EW ❑ ADDITION O ALTERATIOPJ ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN O WGOD STOVFJfIREPLACE INSER7 <br /> VALUATION OF WOHN <br /> s 400,00 <br /> �ESCflIBE WOflK <br /> Install illuminated sign <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THA"i I H.AVE READ AND EXAMINED THIS Z <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGALOESCHIPTIONOFPqOPERTY�SHOWBELOYJORATfACHFOIIRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES �--� <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BF. COMPLIED WITH �' <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A m <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOaITY TO VIOLATE <br /> OR CANCEL THE PRUVISIONS OF ANY OTHER STATE OR � T <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � � <br /> PERFORMANCE OF CONSTRUCTION. v�m <br /> JOB ADDRESS SIGNATURE OF CONTRAGiOR ORl�UTM .EO AGENT OATE � <br /> 5701 Evergreen Way X�� ' - .�, ' � m o <br /> � <br /> PLUMBING MECHANICAL o 3 <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � Z <br /> WATERCLOSET�TOILEn AI(i COND.UNITS — H.P. EA. m � <br /> � <br /> BA7HTU8 REFRIGERA7{ON UNI7S — H.P.EA. p = <br /> LAVATOPY�WASHBASIN) BOILERS — H.P. EA. C <br /> a � <br /> SHOWER GAS FIRED A.C.UNI7S — TONNAGE EA. r = <br /> �-. .-� <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. � N <br /> � <br /> �ISHWASHER WALL HEATER$— B.T.U. M '� <br /> IAUN�RY7RAY UNIT HEATERS— B.T.U. M o 3 <br /> CLOTHES WASHER EVAPORATIVE COOLE(i5 � m <br /> S <br /> WATER HEATER CLOTHES DRYERS m � <br /> N <br /> URINAL VENTILATION FAN � <br /> or <br /> ORINKING FOIiNTAIN RANGE HOOD C Vmi <br /> FLOOR�RP.iN .41R HAN�LING UNIT— C.F.M, 3 N <br /> m <br /> VACUUM BREAKERS STOVE—WOOD Z� <br /> .i m <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY p <br /> SINY.!SERVICE— BAR, ETC.) FIRGPLACEINSEflT A <br /> HEAT Pl1MP = <br /> a <br /> z <br /> � <br /> x <br /> .-. <br /> SUB TOTAL S SUB TOTAL S N <br /> PERMIT S PERMIT 5 p <br /> TOTAL FEE f TU7AL FEE f ,.�., <br /> SIDE YARD SE7BACK STREET SETeACK REAR YARO SETBACK PLAN CHECK NUMBER PLAN CHECK FEE n <br /> m <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> [;YES �'iN0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILGING 5 Q00.00 S 00 <br /> SIZE CF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FEOUIRED <br /> ,-,VES ;]NO <br /> APPHOVALS BY [lA7E �THER <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> SEC.303(al <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL 5 0 <br /> 4.FIRE PRO7ECTION SYSTEM PEHMIT VALIDATION <br /> S.GRAOING WHEN PROPERLY VALIDATEO(IN THIS SPAC�)THIS`IS YOURPERMIT__� <br /> � . t. i. �. .. <br /> fi.ORAINAGE Sign to be all on private property, No <br /> � <br /> 7.ENVIRONMENTALIMPACTSTA7EMENT PYO]BCt1oI1 d110Y7ed OVOY Right-Of-Way. .-�- <br /> 8.HEALTH DISTRICT ' ; . �i���� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FON ISSUANCE BY <br /> NV/LC . . . � • , U <br /> ADDRESS FILE <br />