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� <br /> �he Erergreen CQ r r �T R U GT I O N <br /> CI7Y OF <br /> e�erett PERMIT PERMIT NO. �$468 <br /> CITY HALL 259�8745 <br /> EVERETf,\NA 98201 ❑ COMBINA'iION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> Q�yryEq Mhlt A�DRE55 CITY ZIV i HOHE <br /> Auto Body Supply 3010 Rucker Avenue 98201 <br /> nRC��rtECtORpE51GNER MNILADDRE55 CITV 21P PNON[ <br /> GENER4l CONIRACLOR MAIL ADDRESS CrtY ZIP PMONE UCEI.SE� <br /> Ber.ry Neon Sign Co. 21027 61st West Lynncaood 98036 776-8835 <br /> AIECHANICAL CONiRFCTOP lJAll AOORC55 CiiY ZIP FHONE LIC.ENSE/ <br /> PlL�A1PiNGCONiRACTOR MFILA�DRE55 C�iV ZIP PMONE IICENSE� <br /> C1A550F WOBK <br /> ❑NEW ❑ADDIiION ❑ALTEF�TION ❑PEPAIR ❑DEMOLITION ❑PENCE �XIGN GGARAGE <br /> VALVATION OF WORK <br /> � rJ��.�� <br /> DESCRI�E W00.N <br /> Erect illuminated Sign <br /> VRoroSEo usE oF BUIIOING <br /> I HEREBY CEFfIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> tecn�oesca�anor�ocaao�enrris�¢^Nenuw�oanrrnc��vovawwesi PLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�cen—oF TYPE OF WORK WILL BE COMPLIED WITH VJH[THER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DnES NOT <br /> PRESUMe TO GIVE AUTHORITY TO VIOLATE OR CANCEL�HE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> 2,t �(J — CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> i I 9GNAiUREOFCONfPALiGNORAU���ORiZWA,]ENi D41E <br /> J0�FJ�RE55 � <br /> 3Ai'�Rucker Avenue X _ <br /> PLUMBING MECHANICAL <br /> N0. TYPE OP FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WAiER CLOSLT(TOILET) AIP COND.'JNITS—HP.UU <br /> OATHTU� REFPIGERATION UNIT$—H B[A <br /> LAVATORY�\VASH BASIN) 1101LERS—H P.EA. <br /> SHOWER GAS FlR[D n C.UNITS—TONNAGE EA <br /> KITCHEN SINK 8 DISfl FORCLD AIR SYSTEMS—B T.U. M EA. __ <br /> DISHWASNER IVALL NEATERS—B i.U. M <br /> LAUNDRY TRAY UNIT H61TEP5—�.T.U. M <br /> CLOTHES WASHER EVAPORAiIVECCJLERS <br /> WATER HEATEF CLOTHES DFYEf,S — <br /> URINAL VENTILATION FAM _ <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FIOOR ORAIN r11fi HANDLING UNIT— C.F Ai <br /> VACUUAIDREN<ERS STOVE <br /> ROOF DHAINS—RAINLEAOERS ME1AL FlREPLACE 8 CHIMNEV <br /> SINK�SEfaVICE—BAR,ETCJ <br /> SUBTOTAL SUBTOTAI f _ <br /> PERMIT S PERMIT f <br /> TOiAL FEE S TOTALFEE 5 <br /> SIDE VAFD SETBALK SiRELT 5[T�ACK REAR VAPD SET�ACK PLAN CH[CK NUAIBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT ARCA VACANT SITE FEES VALUAT�ON FEE <br /> I:YES f'.NO '_ <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING SSJO. S 00 <br /> 512[OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PWMBING <br /> FIRE ZONE �AS[MENT FIRE SPRINKLERS ���CHANICAL <br /> REOUIRED <br /> ,'�YES �:NO <br /> APPROVALS BY OATE OTIIER <br /> � ENVIRONMENTALCNECKLIST PENALTV UBC <br /> Sc'C.303(n� <br /> 2 OUIL�INGPWNS S OO <br /> TOTAL <br /> 3 FIP[HYDRANT <br /> d FIRE PROTECTION SYSTEM PERM�T V4LIDATION <br /> IVHEN PROPERLY VALIDAT[D(IN i 1115 SPACE)iH15 IS YOQUR P[(1�dIT <br /> 5 GRADING Dtaximum projectioSr��'L/ 1� �2.'J �BUQ �l❑ Ro� <br /> c oanwnce event closer than 5 ' to the face of�he <br /> 1 ENVIRONMENTALIMPACTSTATEMENi CUYIJ. n <br /> 0 HEALIH DISTRICT � �• n -��" I 1 � <br /> APPLICATION ACC OY PLANS CNECKED BY hPPP FOR ISSUANCE[31' � � � ��\ ^1,\ l� <br /> RB BAII—LNC <br />