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(hPL•1'CTYeOF C�'NSTRUCTION � <br /> everett PERMIT PERMIT NO. OS779 <br /> CRV HALL 259�BIa5 � <br /> EVERETT.WA 9820� ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> C:'/''IL9 MnRAG�PE55 UTY ZIP PNONC <br /> Elks Lodge 2731 Rucker <br /> ARCNITEGT OR DESiGNER MAIL ApDRE55 CiiY ZiP 1'MONE <br /> GENERAL COrviRnCiOR MAIL AODRE55 �IiY 21P PHONE �IGENSE I <br /> Simco Sign Corp. 2719 Maple Everett 98206 252-0086 <br /> MFb1ANICALGONTRhC10R MAILAODPE55 CITY $IP VHONE UCENSE• <br /> SI MC OS C272P3 <br /> FWMBINGCONiRALTOR IA4ILAODRE55 CIiY ZIP PHONE LICENSEI <br /> ClA55Of WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �]REFp,IR ❑DEMOLITIOIJ ❑FENCE C]SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> 5 800.�� <br /> DESCRipE WORK <br /> erect illuminated sign <br /> PROPOSED USE OP OWLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iccnioeseaivnor�orPRorearviSHowoaowoannner+rouRcoaiEs� PLICATION AND KNOW THE SAME TO BE TRU[ A11D CORRECT. <br /> ALL PROVISIONS OF LAWS AND OFDINANCES GOVERNING T'rtlS <br /> �o� e�oc«_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC'FIED <br /> HEREIN OR NOT. THE GRANTItJG OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHEF STATE OR LOCAL LAW REGULFSING <br /> CONSTRUCTION OR THE PERFORMANCE Or CANSTRUCTIOi:. <br /> JUB ApOPE55 SiGNATURL OL C . O R PUiHOR12E0 PGENI D4TE � <br /> 2731 Rucker X <br /> PLUMBINO ME HANICAL <br /> N0. TYPE OF FIxTURE OR ITEM F[E NO. TYPE OF E�UIPMENT FEE <br /> WATER CIOSET(fOILET) Nq COND.UNITS —HP.[A <br /> BATHTUB R[FRIG[RATION UNITS—11 P.EA <br /> IAVATOflV(WASH BAS�N) BOILRS—H.P.EA. <br /> SHOWER GAS FlRCU A.0 UNITS—TONNAGE CA <br /> KITCHEN SINK A UISP. FORCED AIR SYST[MS—B TL. M EA <br /> DISHWASHER WALI NEATERS—B T.0 TA <br /> LAUNDPV TRAY UNIT HEATERS—0.T U M <br /> CLOTH[S WASHER [VAPORATIV[COOlERS <br /> WNGR HEATER CLOiHES�RY[RS <br /> URINAL VENTIIATION FAN <br /> ORINKIflG FOUNTAIN RANGE HOOU <br /> f IOOR UfiAIN AIR HAN�LING UNIT— C.F.M. <br /> VAGUUId BP[AKERS STOVE <br /> ROOF DRnINS—RAINLEADERS METAL FlREPLnCE 8 CHIMN[Y <br /> SINK�5[RVICE--6AR.FTC� <br /> SUBTOTAL SUBTOTAL S <br /> PEPA717 S PERMIT f <br /> TOTAL FEE S TOTAL FEE S <br /> SiD[YARD SETBACN STRE[T SETf7ACK R[AR VARD SETBACK PLAN CH[CH NUMBER PLAN CHLLK FEE <br /> FEE I16C[IPT NO <br /> USL ZONE LOT AR[A VACANT SITE <br /> I]VES i��NO FEES VALUATION FEE <br /> iYPE OF CONST. OCCUPANCV GROUP NO.OF DWELUNG UNITS <br /> BUILOING 8 BOO.00 G OO <br /> SIZE OF BLDG. NO.OF STORIES MA%.00C.LOAD <br /> PLUM�ING <br /> fIR@ ZONE BASEMENi FlRE SPRINY.LERS <br /> RCOWFlED MEGHANICAL <br /> I-IYES IiNO <br /> APPROVALS BY DATE OiHER <br /> L ENVIRONMENTAL CNECK LIST P[NALTY U B C <br /> 2 �UILDIt:GPV.NS SEC.303�a) <br /> 3 FlRE HYDRANT T�TA� � OO <br /> n FlRE PROTECTION SYSTEM1! PERMIT VALIDATION <br /> WH[IJ PROPERLV b'AIIUAiED pN iH15 SPACE)THIS IS VOUR PEFldli <br /> S GHADING � <br /> 2 > 13 ` �; QI,. Q �`' - <br /> G DHAINAG[ <br /> � <br /> � ENVIRONMENTAL IMPACT SiAiEMENT � <br /> 0 HEALTN DISiRICT � � � � <br /> — _ . . .� � �i � � <br /> r,rP�ICAT104 nCC �A' PLANS CHEChED OV APPR.FOR ISSU/NCF 3Y <br /> ' <br /> RO BAB <br /> I <br /> . .. � <br /> ,1CC�RP"S FII_E <br />