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dreF.i'er�;men � ���C°j' .j�uC�f�N <br />CITY OF p� RA <br />e��ret� r��'Y��� PERMIT NO.O�66H <br />CITY HNLL 259�87<5 <br />EVEREIT, VJA 98201 ❑ COMBINATION �j BUILDING � MECHANICAL PLUMBING <br />OVMEn <br />r.�naa�oaess cirr zia rNor�e <br />Everett Mirror & Glass 3322 16th Street Bverett 98201 252-3185 _ <br />ARCHITGCi OR OESiGNER <br />MAiLAD�PE�S GITY ZIP PNONE <br />GENEPAICONTRAC��R IAPILADDRE55 CrtY ZIP PHONE LICEIISE� <br />B Electric 3509 Hroadway Everett 98201 259-9175 <br />IAECHANICAI CONiRAGTOR IANII FDOflE55 CIiY 21P PNONE IICENSE � <br />za4o6 <br />PLU�aBIGGCONTPAGTOR IAFILADORE55 CItY ZIP FMONE UGENSE� <br />CLA55 OF Y�ORK <br />❑��[W ❑AODITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENCE �,i�IGN GARAGE <br />VAWAT�ON OF VlOFK <br />$ 1.200.00 <br />UESGRIBE WOPi. <br />install illuminated sign <br />PROPOSED USE OF bWLDl9d <br />LEG/L OESCRIPiION OF PBOPERTY (SHOW BELOW <br />LOT BLOCK_OF <br />doe Foor+ess <br />3322 16th Street <br />PLUMBING <br />un. 7YPE OF FIXTURG <br />KITCHEN SINK 5 G <br />DISNWASHER <br />LAUNDRY TFiAY <br />CLOiH[5 WPSHLR <br />WAiER'1EATER <br />UR!NAL <br />DRINKING FOUNL <br />FLOOR DRAIN <br />VACUUM BFEAKEF <br />ROOF DRAINS — I <br />ciniu icFaVlfF — <br />SIDE YARD SETBACK <br />lISE ZONE <br />SIZE OF 9LUG. <br />FIRt ZONE <br />TOTALFEE <br />STREETSFT9ACK <br />i. ENVIRONMENTAL CHECK LIST <br />?. BUILDINGPLANS _ <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMEN7AL IMPACT STATEMENT <br />8. IIEALTH OISTRIC7 <br />APPLICATION ACC. BY PLANS CHECKED BY <br />RF <br />28406 <br />I HEIiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOJJ THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND GRDINANCES GOVERNING THIS <br />TYPc OF WORK'NILL 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 />CONSTRUCTION OR TH RFORMANCE OF CONSTRUCTION. <br />SIGNAiU ��GONiFACTOqO AUi ORIZ AGENi � � oAtE �� <br />�f/�j !E <br />X I�- .C✓L� . V r <br />REAR YPRD SE <br />VACANT SITE <br />❑YES ❑NO <br />NO.Of DWELI <br />MhX.00C.LO <br />fIRE SPHINKL <br />flEQUIRED <br />❑VES ❑NO <br />aT <br />qpPP. FOR ISSUANCE BY <br />BAB <br />GAS F <br />FORC <br />IVALL <br />AIR HA <br />STOVE <br />METAL <br />TYPE OF EC <br />). UNITS — H.P. I <br />7ATION UNITS — <br />— H.P. EA. <br />!D A.C. UNIiS — � <br />AIR SYSTE1dS — <br />ATEHS — B T.U. <br />�rcac — a r.u. <br />EA. <br />M1t <br />M <br />GF <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />PLAN CHECK NUMBER PIAN CI <br />FEE <br />FEES VALUATION <br />BUILDING � 1200.00 <br />PLUMBING <br />MECHANICAL <br />TY <br />� a.�. <br />SEQ 3031a) <br />� 'EE <br />FEE <br />RECEIPT NO. <br />FEE <br />� � � <br />Ytnmu vwuv..��..�. THIS IS YOUR PERMIT <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) <br />� <br />. . . ' '1 0 i`'� . � � <br />� <br />� Q <br />,� <br />ADDR[SS FILC <br />