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f'. <br />(he C• vergree�i � �O N ST R U GT I� N - <br />CI71 Or <br />evere�t PERMIT PERM�r �o. 09314 <br />CITY HALL 259�8745 <br />EVF.RETT, WA 98201 ❑ COMDINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYNEP M41LAO�RE55 CITY ZIP PNONE <br />Taylor Rental Center 9217 Evergreen 'aay Everett 353-4102 <br />NRCHITEGTORDESIGNEP MA�LA��FE55 CITV 21P PHONE <br />GENEPALGONfRA�TOR MAILADDRE55 GRY ZIP PNONE LICENSEI <br />Simco s'ign Corp. 2719 Maple Everett 98201 252-0086 <br />MECMANIGAL CONTRACTOR MAIL A�ORE55 CIiV 21F PHJNE UGENSE / <br />SI MC OS C272P3 <br />PLl .BINGCONTFFCTOP MAILADORE55 CITY ZIP PMONE LICEtlSF/ <br />V ❑NEW ❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FF.NCE a�Qa`IGN ❑GARAGE <br />.VATION OF WOFN <br />5 Z2OO.O0 <br />Erect illuminated sign <br />PROPOSED USE OF BUILDING <br />L[GhL OESCPIPTION OF PfiOPEPTY ISHOY/ �ELOW OR ATL <br />lOT BLOCK_OF <br />J00 ADDFE55 <br />9217 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITf <br />WATER CLOSEi pi:�.LET) <br />DATHTU� <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DFAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />�UBTOTAL <br />PERMIT <br />SIDE YARD SETBACK STREET <br />USEZONE LOTAR <br />TYPE OF CONST. OCCUP <br />SIIE OF 9LDG. NO. OF <br />FIRE <br />BASEMENT <br />t. ENVIRONMENTALCHECKLIST <br />�. DUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />7. ENVIPONMENTAL INPACT STATEMENT <br />e. HEALTH DISTRICT <br />APPLIC4TION ACC. BY I PLANS CHECKED BY <br />RF <br />" I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS r`,?- <br />Fovacoaies� PLICATION AND KNObV THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COM��LIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUM[ TO GIVE AUTHORITY TO VIOLATE OR CANC[L THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING <br />CONSTRUCTIO THE PERFORMANCE OF CONSTRUCTION. <br />SIG�JATURE OF ��A R AUiMORIZE� AGEN7 OnTE <br />x �� %../ C��S �� I <br />NO. TYPE OF EQUIPA <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. I <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONN <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — B T.U. <br />UNIT HEATERS — �.T.U. <br />DRYERS <br />HOOD <br />AIH <br />REAR YARD SETC�ACK �PU?N CHECK NU <br />VACdNT SITE <br />❑YES ❑NO <br />H0. JF DWELLING UNITS <br />NO <br />APP6. rOR ISSUANCE BY <br />BAB <br />BUILDING <br />PLUMBING <br />MECHANICf�L <br />�THER <br />FEE <br />M <br />C.F.M. <br />�L FEE EI <br />PLAN CHECK FEE <br />FEE RECEIPi NO. <br />VALUAiION FEE <br />52200.00 <br />U.B C. <br />SEC.303(a) <br />IMIT VALIUATION <br />EN PFOPERLY VALIDATED (IN THIS SCACEJ�TH15 IS Y�UR f9EF�11� n <br />Sign to be all on' priLate {�r•op i�ty.�t <br />� <br />M <br />.. �i�� <br />� , . `i . �i� U <br />