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Yle Evergreen <br />�) N ST R U CT! ® N <br />CITY OF <br />ierett <br />PERMIT <br />PERMIT NO.09505 <br />CITY HALL 259-8745 <br />❑ COMBINATION kk BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT. WA 98201 <br />( OWNER <br />PHONE <br />MAIL ADDRESS CITY <br />ZIP <br />Oscar Pong <br />9602 19th Avenue S.E. Everett <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />PHONE LICENSE <br />MAIL ADDRESS CITY <br />ZIP <br />American Neon <br />P.O. 431 Tacoma <br />98401 627-7446 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE I - <br />FPLUMBING CONTRACTOR <br />PHONE LICENSE / <br />MAIL ADDRESS CITY <br />ZIP <br />L <br />11.�V, 1• 1 ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE QJWN ❑GARAGE <br />VAL,1ATION OF WORK <br />a 20,000.00 <br />DESCRIBE WORK <br />Install illuminated sign <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OF PROPERTYISHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />Lor BLOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRIF <br />TIO RF R N F CONSTRUCTION. <br />JOB ADDRESS SIGN E C A TFi ' DATE <br />9602 19th Avenue S.E. v Aa `f121A <br />PLUMBING MWMANIL;AL <br />NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br />_ WATER CLOSET (TOILET) AIR COND. UNITS -- H.P. EA. <br />BATHTUB REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) BOILERS - H.P. EA. <br />SHOWER GAS FIRED A.C. UNITS - TONNAGE EA, <br />KITCHEN SINK & DISP. FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER WALL HEATERS-B.T.U. M <br />, ­­,..,. .. ,v UNIT HEATERS-B.T.U. M <br />FAN <br />UNIT - <br />ROOF DRAINS - RAINLEADERS I I METAL FIREPLACE 8 CHIMNEY <br />SINK ISFRVICE - BAR. ETC.) <br />TOTAL <br />TOTAL FEE $ <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO, <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE _ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$20,000. <br />63 <br />00 <br />-- <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />APPROVALS <br />FIRE SPRINKLERS <br />REQUIRED <br />,YES ONO <br />MECHANICAL <br />OTHER <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />63 <br />100 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />L0 <br />Lb <br />C:) <br />)� <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />RF <br />APPR. FOR ISSUANCE BY <br />BAB <br />ADDRESS FILE <br />bI n <br />