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IL <br />r. <br />L <br />dle Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />":ONSTRUCTIOK <br />PERMIT <br />❑ COMBINATION ild BUILDING ❑ MECHANICAL <br />PERMIT NO. 12953 <br />f!] PLUMBING <br />OWNER MAIL ADDRESS CITY _ PHONE <br />TEXACO INC. 2631 Walnut Avenue Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />S & S Sign Cc. 13190 Stone North Seattle 98133 365-0242 79523 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />C NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ']{SIGN O WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />s 2,000.00 <br />Erect Illuminated Sign <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OFCONST CTION <br />SIGNATURE .ONTRACTOR OR AUT RI 0 AG T CAL[ <br />e.2631 <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACHFOUR COPIE51 <br />LOT_DLOCK__OF <br />JOB ADDRESS <br />Walnut Avenue <br />PLUMBING <br />MECHANICAL <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 — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK d UISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <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 — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE d CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTA <br />$ <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 2,000. <br />9 <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 />i IYES FiNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 000 (a) <br />2. BUILDING PLANS <br />TJTAL <br />9 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION p <br />WHEN PROPERLY VALIDATED (IN THI S�P�jCIIE) THIS41S�1'Q7 PTA ITS <br />/ TJ u U <br />Q% <br />�: J I\ RECEIPT-,' <br />[HANK YOU <br />5. GRADING <br />3. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. 7�7NS <br />CHECKED BY <br />RP <br />APPR. FOR ISSUANCE BY <br />NV <br />I <br />ADDRESS FILE <br />1 5 FEB 84 <br />d <br />