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The Evergreen <br />CITY OF <br />everett <br />gCONSTRUCTIOIJ <br />CITY HALL 2-745 P E R M I T <br />EVERETT, WA 98201 ❑ COMBINATION <br />Q BUILDING ❑ MECHANICAL <br />0 <br />PERMIT NO. 15791 <br />❑ PLUMBING <br />OWNER ' MAIL ADORESS CITY ZIP PHONE <br />Terrace East 9427 19th Avenue S.E. Everett <br />ARCHITEOT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAi CONTRACTOR <br />Berry Neon Inc, <br />MAIL ADDRESS <br />P.O. Box 5269 <br />CITY <br />Lynnwood <br />ZIP <br />98046 <br />PHONE LICENSE n <br />776-8835 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 4 <br />BERRYN <br />*247LD <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE N <br />❑ NEW ❑ ADDITION L] ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE <br />VALUATION OF WORM <br />f2990.00 <br />Erect Non Illuminated sign <br />g)�EIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />PROPOSED USE OF BUILDING - <br />T <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />_ <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI — <br />LOT_BLOC'(_OF <br />JOB ADDRESS <br />9427 19th Avenue S.E. <br />PLUMBING __ <br />MECHANICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILET) <br />AIR COND. UNITS — H P. EA. <br />BATHTUB <br />— <br />REFRIGERATION UNITS — H.P. EA. <br />— <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DI':-HWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TflAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE LJSERT <br />HEAT PUMP <br />SUB TOTAL S <br />SUB TOTAL s <br />_ <br />PERMIT 5 <br />PERMIT 5 <br />TOTAL FEE t <br />TOTAL FEE E <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO, <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES EINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />2990. <br />S �XXX <br />12 <br />00 <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />_ <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREU <br />YES NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />— <br />U.B.C. <br />SEC. 3031a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />12 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Sign t0 be all on Pr' Pro �j' <br />h"'I) �, 0 _ <br />See Traffic Engineering ComB.entr LI,7 <br />Y0� J R RECEIPT <br />YOII <br />5. GRADING <br />6. DRAINAGE <br />_ <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />8.HEALTH DISTRICT <br />APPLICATION ACC. BY <br />_ <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />INC 12/6/8 <br />ADDRESS FU.I <br />