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the Evergreen ^ O � �� � � w � � O � <br />GTY OF <br />6r <br />everett ��R�IIT FERMIT NO.O966H <br />CITY HALL 259�8745 <br />EVEHETT, Wq 98207 ❑ COMBINATION � BUILD�NG ❑ MECHANICAL ❑ PLUMBING <br />owr�En <br />1dAIL ADURE55 CIiY <br />Everett Mirror & Ci]_dSS Z�P FHONE � <br />3322 16th Street Everett 98201 52- <br />ARGHITEGTOPDESIGNER MAILAOORE55 '�' 318� <br />� ��TY Z�P PHONE <br />GENERALCONiRACTOfl MqILADpRE55 <br />B Electric 3509 Broadway �'-� z1P P�or,E LICENSE� <br />Everett 98201 259-9175 <br />NECHANICAL WNiRqC�OP MAIL ADDRE55 <br />CI7Y ZIP PHONE <br />LICENSE Y <br />PLUTABING CONTRACiOR 2 8 4 0 6 <br />M11AI�q00RES5 CIiY Z�p <br />nHOr�E LICENSE � <br />CLASS OF WORK <br />❑NEW <br />❑ADDITION ❑AL7ERATION GREPAIR ❑DEMOLI710N ❑FENCE �IGN ❑GARAGE <br />vaLUniION OF Y:ORH - <br />g �-�2��.�0 <br />OLSCRIBE YJORK <br />install illuminated sign <br />PROPOSED USE OF BUIL�ING <br />•curv� ocacnip�lON OP PqOPERi <br />LOT CLOCI(_OF <br />JOB ADDRE55 �� <br />3322 16th Street <br />PLUMBING <br />N�- TYPE OF FI%TURE O <br />nIIGMtN SI'JK 8 DISP <br />DISHWASNER <br />LAUNDFlY TRAY <br />CLOTHES WASHER <br />_ N!^.;tR NEATER <br />URINAL <br />DRINK�NG FOUNTAIN <br />FLpOR DRAIN <br />VACUUM BREAKEFS <br />ROOF DRFINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETQ) <br />� SUB TOTAL <br />PERMIT <br />?OTAL FEE <br />SIDE YARD SETBACf: STF'ET SETBACIC <br />USEZONE LOTAR6A <br />OF CONST. <br />SIZE OF BLDG. <br />FIRE <br />1. ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />3, FIRE HYDRANT <br />4. PIRE PNOTECTIO�I SYS7EM <br />�. GRADING <br />G. DRAINAGE <br />7. ENVIRONM[I:';L IMPACT SiATEMENT <br />B. HfALTH DISTRICT <br />Af711;;,4TICf: ALG ul F�:.Id.v cticn <br />GROUP <br />� <br />FEE <br />2E406 <br />I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS Of= LAWS AND ORDINANCES GOVERNING'fH15 <br />TYPE OF WORK WILL BE C01�1PLIED WITH WHETHER SPECIfIED <br />HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIUNS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR TH RFORMANCE OF CONSTRUCTION. <br />SIGNAiU Of WNTRACi0fl0 AUi Ofl�IZf/� AGENi /D4ATE �� <br />X �- . � \ � 7\.l %t` <br />,�erunui...� <br />N0. TYPE OF EQU <br />AIR COND. UIJITS — H.P. EA. <br />REFRIGERATION UNITS — H. <br />�OILERS — HP. FA <br />iia— iurvrv <br />FpRCED AIR SYSTEMS — �.T.U. <br />V✓ALL HEATERS — B.T.U. <br />UNIT HEAiERS — P T I I <br />RANGEHOOD � <br />�IR HANDLING UNIT — <br />8 <br />REAR YARD SETB,:CK PLAN CHECK NUMB[R <br />VACAN7 SITE <br />CiYES ❑NO FEES <br />NO.OF nWELIING UN!TS <br />BUILDING <br />NAY.. OCG LOAD <br />PLUMBING <br />FIRE SPRINKLERS <br />R:OUIRED MECHANICAL <br />I�YFS ❑NO <br />BY CAlE OTHER <br />FEE <br />EA <br />M <br />QF.h1. <br />51200.00 <br />RECEIP7 NO. <br />� �� <br />PENALTV U.B.G � <br />SEC.303(a) <br />TOTAL <br />9 UU <br />PERMIT VALIOA710N <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THIS IS YOUR PEP,�dIT <br />