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dieEver��een �nNSTRUCTION �- � � <br /> CITY OF <br /> everett PER�iIIT pERMIT NO. �E�939 <br /> CITY HALL 259�8745 <br /> eveae�� w� eazo� ❑ COMBINATION IX�tBUILDING ❑ 11'IECHANICAL PLUMBING <br /> ON'NER MAILAOORE55 Cii! ��-� ZI�' PHONE <br /> � The Prescription Shoppe 11031 19th Avenue S.E. __ _ _._ <br /> � � MAIL A��PE55 CIiY CC i'MONE <br /> nRCMrtECi OR OESiGM1ER <br /> GENERnL CONTlIPGLOP A1AILl.IlUBE55 <br /> CIiV IIP FHCVE LICENSE I <br /> Simco Sign <br /> P.O. Box 68 Everett 98206 252-0086C272P3 <br /> MECHANICALCONiPAGiOA <br /> MAILADORE55 Cltr ZIP PFCtIE IICENSE� <br /> PW MBING CONiRAG10P <br /> MA'l AODRE55 i.iiv iio PHUNE IICENSE� <br /> CLA55 OF WOPN <br /> ❑NEW ❑ADDITION ❑ALTERAIION ❑REPAIR ❑DEMOLRIOW ❑FENCE �IGN ❑FARAGE <br /> WLUNiION OF WORN <br /> 5 z5ao.00 <br /> �ESCR�pE R'ORK <br /> erect illuminated sign � <br /> vno�roseo use oF owtoi�+c <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iEen�oescaivno�:oFPaorearrisNowse�owoAannc�+rooacoaiesi PLICATION AND KtJOW THF SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ��T e�xK_oF TYPF OF WORK`NII_L BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GR.INTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AU I�iiORI�fY TO VIOLATE OR CANCEL THE PRO� <br /> — VISIONS OF ANY OTHER S-iATE OR LOCAL LAW REGULATING� <br /> COtiSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUPEOF RORPUiIIOPIi-F:DAGENL ��iE <br /> JOP/��RE55 l! �b/ <br /> 11031 19th Avenue S.E. y �L�"""���`""�`� . � � <br /> PLUMBINO MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT � <br /> VlATEA CIOSEi QOILET) AIR COND.UNITS—HP.EA. <br /> BATH7UB REFflIGERATION UNITS—N.P.EA <br /> �qyAippY(INASH BASIN) BOILERS—HP.EA. <br /> 6A5 FIRED A C-UNIiS—1�NNASE EA_ _ <br /> SNOWER <br /> FORCED AIR SYoTEMS—BS.U. M EA. _ _ <br /> NITCHEN SINK 8 DISP. <br /> — WFLL HEATERF—P TU. ti� <br /> DISHWASHER N <br /> UNIT HEAiERS—B T.U. _ <br /> IAUNDRYTRAY <br /> EV4PORATIV[CCOL[RS _ <br /> _ CLOTMES WASHER CLOTHES DRYERS _ <br /> WATER HEAT'R <br /> � VENTILATION FAN _ <br /> URINAL <br /> DRINKING FOUNTAIN FANGE HOOD <br /> AIR HAN�LING UNIT— C F.M. __ <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS <br /> METAL FlflEPLACE 3 CHIMNEV <br /> ROOF DRAINS—RA�NLEADERS <br /> SINK�S[RVICE—BAR,ETC.) <br /> SUB TOTAL f <br /> SUBTOTAL pEHMIT S <br /> PEflM1T s <br /> TOTALFEE S TOTALFEE s <br /> PLAN CHECk FEE <br /> SIDE YARD SETBACK STPEET S[TDACK REAR 1'4RD SETBACK PLAN�HECK NUMOEA FCE qECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE FEES YALUATION FEE <br /> ❑TES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF�WELLING UNITS <br /> BUILDING S ZSOO.00 12 OO <br /> uIZE OF BLDG. NO.OF STOBIES MA%.OCC.LOAD � <br /> PLUMDIN6 � <br /> FIPE ZONE �ASEMENT FIRE�PRINKLERS MECHANICAL � <br /> REOUIRED <br /> ❑YGS ❑NO <br /> BY DATE OTHER I I <br /> APPROVALS �_ <br /> i. ENVIPONMENTALCHECKLIST PENAL'Y SECC307�a) <br /> 2. BUILDING PLANS TaTA� 12 OO ! <br /> 3. FIRE HYDRANT <br /> PERMIT VALIORTION <br /> 4. FIRE PfiOTECTION 51'SI[M WMEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUFl PERMIT <br /> 5. GRADING � <br /> 6. DRAWAGE � � � <br /> L 7. ENVIRGNMENTALIMPACT STATEMENT ' � <br /> 8. H[hLTH DISTRICT C) <br /> APPLICATION ACC.BY PLANS GMECKED BV APPR.FOR ISSUANCE BV 4 9�O �O I 7,O O �� � <br /> BAB <br /> YOUP. REC61P7 <br /> ADDRE55 FILE �• • � • <br />