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�hr!i re.e�eert <br /> ���,��� �� �ONSTRUCTIO� � <br /> everett PERMIT PERMIT NO. 16655 <br /> CITY HALL 259-B7d5 <br /> EVERETT,WA 9020t � COMBINATION (X� BUILDING ❑ MECHANICAL ❑ PLUM6ING <br /> OWNER MAILADDRESS CItY ZiP PnON[ <br /> JEFF GOLDFINCH 2812 RUCKER ST EVERETT WA 98201 258-4662 <br /> ARCMIiEGT OR OESiGNER Mqi�ADDRE55 GiTY ZIP PHONE <br /> GENENRL GONTRAGTOR MAIL/ODRE55 CITY 21P PMONE LIGENSE M <br /> CITY SIGN SERVICE PO BOS 2217 Everett WA 93203 339-2644 CITYSSI158UK <br /> MEGHI.NIGAL CONTRALLOR MA�L AODRE55 �ITY 21P LiCENSE� <br /> PWMBING CONTRAGiOR MAIL ADDRE55 JRY ZIP PHONE LILENSE M <br /> C1A55 OP YJORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION O FENCE � SIGN ❑ WpOD STOVFIFIREFLACE INSERT <br /> VALUATION OF WORK <br /> : 846.00 <br /> DESCRIBE WOPN <br /> Install illuminated sign <br /> PPOPOSED USt OF Ol1iL�ING <br /> Paint Store I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APf'LICATION AND KNOW THE SAME TO BE TRUE ANO <br /> iEcn�oEscavriorvnFaaoaearr�sHowee�owoannacnFou�coaiEs� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �o._owcK_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 1NITH <br /> WHETHER SPECIFIED HEHEIN OR NOT.THE GRANTING OF A <br /> LOtS 21-26 Bl k 670 Everett PEFMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> IOCAL L W REGULATING CONSTFUCTION OR THE <br /> PERFOR NCE OF CONS�CTION. <br /> JOB IDDRE55 SIGNATU NiRACTO1i OF AUt 12ED AGENT � pqT� <br /> 2812 Rucker x �i . f� i,• �,y � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFFIGERATION UNITS— M.P.EA. <br /> IAVATORY�WASH BASIN) BOILERS— N.P. EA. <br /> SHOWER GAS FIREO A.C. UNITS — TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> OISHWASHER WALL HEATEFS— B.T.U. M <br /> IAUNDRYTRAY UNIT HEATERS— B1.U. M <br /> CLOTHES WASHER [VAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> �RINKING POUNTAIN RANGE HOOD <br /> FLUOR DRAIN AIR HAN�LING UNIT— QF.M. <br /> VACUUM BREANERS STOVE— WO00 <br /> ROOF DRAINS— qAINLEADERS METAL FIREPLACE 8 CMIMNEV <br /> SINK�SERVICE — BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUBTOTAL S SUBTOTAL E <br /> PERMIT f PERMIT S <br /> TOTAL FEE 5 TOTAL FEE f <br /> SIUE YAR�SETBACK STPEET SETOACK REAR VARD SETBACK PLAN CMECK NUMBER PLAN CHE.K FEE <br /> FEF RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> YES � NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELUNG UNITS <br /> eui�oirvc s g46.00 6 0 <br /> SIZE OF BLDG. NO.OF STORIES MA%. OCG LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECMANICAL <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY OATE �THER � <br /> 1.ENVIRONMENTAL CHFCK LIST PENALTV �I�.�y�7 <br /> 2.BUILOING PLANS �'Q—� , <br /> 3.FIREHYDRANT TOTAL 6 O <br /> 4.FIREPROTECTIONSVSTEM PEPMITVALIOATION �IX'j �,� <br /> i GRADING WHEN PROPERLY VALIOATED QN.ZMIS..SPACE) 1�:�OUR PERMIT [f� <br /> I.�LLR <br /> 6.DRAINAGE � <br /> 7.ENVIRON MENTAL I MPACT STATEMEIJT � <br /> B.NEALTMDISTRICT Maximuin projection over R/41 of 10 ft. Cc� <br /> APPLICATION ACC. BY P�ANS CHECKED BV APPR. FOR ISSUANCE 6V Cannot come cl oser than 5 ft to face �"{ <br /> of curb. <br /> lc n <br /> ;.i', ,....., r ,i <br />