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' �}-' <br /> �hrCircrgmen �' C�NSTRUCTION �� � - <br /> QTY OF <br /> everett PERMIT PERMIT NO. 07705 <br /> CITY HALL 259�8745 <br /> EVERLTT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILFD�RE55 GIiY ZIP PMONE <br /> Jackson Electric 2819 Rucker Everett <br /> ABCNIiEG10A�[SIGNEB MPILA��RESS CIiY ZIP CMONE <br /> GENERALWNiRAGtOP MNIIADDRE55 CI1V ZI� PMONE LIG[NSE� <br /> Simco Sign Corp. 2719 Maple Everett 252-0066 SI-ML-OS-C272P3 <br /> MECIIANIGRL CANiRACiOR MNIL A��RE55 CITY ZIP PMONE UCENSE� <br /> PWMBINGLONLRPCiOR MAILNDORE55 CITY ZIP PHON6 IICEN5E1 <br /> GLASSOF WORK <br /> ❑NEW ❑ADDIiION OALTCI.�TION ❑REPAIfl ❑DEMOLITION ❑FENCE �SIGN ❑GPRAGE <br /> VALURTION OF\YORN <br /> s �n �� <br /> DES^.RIB[WJRK <br /> iirect illuminated sign _ <br /> PROPOSED USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS AP• <br /> iecn�oescnirnoearPaoaearrisHoweeicw�4nTraa�Fouacowes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eioc�ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREItJ OIi NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESJME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> - VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIO THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNRLURC OP hUtHORl2[�AG[Ni �AiE <br /> JOB RDDPESS <br /> 2819 Rucl:er X �+�+-� 6-9-80 <br /> PLUMBINO ME NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CAND.UNITS—N.P.[A <br /> BATHTUD REFPIG[RAT'�IJ UNITS—H P.EA <br /> LAVA'.ORV(WASN BASIN) DOILERS—h�P.EA <br /> SHOWER GASFlREDAC UNITS—TONNAGEEA. <br /> KITCHEN SINK R DISP. FORCED AIR SY.TEMS—�?.U. M EA. <br /> DISHWASNEfl \NALLMEATERS—DTL. h� <br /> '� IAUNDRY TP.4Y UNIT HEATERS—��?.U. M <br /> �' CLOTHES WASHER EVAPORATIVE COOL'-!iS <br /> �,� WATER HEATER CLOTHES ORYERS <br /> �. UPINAL V[NTILA710N FnN <br /> DPINKING FOUNTAII� R�NGE I100D <br /> FLOOR DRAIN AIR NANDLING UNIT— C.FhI. <br /> (r, VACUUM BREANERS SiOVE <br /> i� ROOF DRAINS—RAINLEADERS METAL FIPEi U+CE 8 CHIMNEY <br /> i SINK(SERVICE—BAR,ETC.) <br /> � — <br /> SUBTOTAL SUBTOTAL S _ <br /> PENMIT f PEHMIT S <br /> TOTALFEE f TOTAL FEE f <br /> SIDE YARD SETBACN STREET 56T�ACK REAR YARC SETBACK PLAN CHECK NUM�cq P�AN CHECK PEE <br /> FGE RECEIPT NO. <br /> USE ZONE LOT AREA VPCANT SITE ;EES VALUATION FEE <br /> L]YES C]NO <br /> ` TYPE OF CANST. OCCUPANCV GROUV NO.OF DWELLING UNITS <br /> , BUILDING $ 3��.�� 3 �� <br /> SIZE OP BLDG. NO.OF STORIES MA%.OG:.LOA� , <br /> PLUMBING <br /> FIRE ZONE BASEME�JT q�pUIRED�LERS MECHANICAL <br /> IIYES ❑NO <br /> APPROVALS BY DATE OTHER _ <br /> 1. ENVIRONMFN7ALCHEGKLIST PENALTY U.B.C. <br /> SEC.3091a1 <br /> Z BNl01NG PIJ.NS <br /> Tou� 3 00 <br /> 3. FIRC HYDRANT <br /> a. FIRE PROT[CTION SvSTEM PERMIT VALIDATION � <br /> WHEN PROFF.RLY VALIDATEO(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING � <br /> 6. DRAINAGE .5;4 0 S E�O Q 3. O 0 ` � <br /> 7. ENVIRONMENTALIMPACT STATEMENT � <br /> B. NEALTH DISTPIGT � <br /> APPUCATION ACC.BY FlANS CHECKED BV APPR.FOR ISSUANCE PY Y v U R R E G E I PT �� <br /> L.c. 'i I-lAi�1K YOU <br />