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APPLICATIQ"' FOR CONSTRUCT!"�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT <br />259-8810 <br />n neun� �nnu n CAYBINATION <br />OWNER <br />•UVMC � <br />�s�� <br />HE4TING SYSTEM: GAS ❑ ELECTRIC ❑ <br />❑ BUILDING �ME <br />CITY ZIP <br />�uP��rr `l�� <br />CITV Z�P <br />❑ PLUMBING ❑ SIGN <br />�R6JN '�M-AcE (Z tp.iS' a �-u .� <br />ARCHIiECTORDE5IGNFR MRILADDRE55 ��TY Z�P P��E <br />� <br />GENERALGONTRACTbR M�ILADDRESS CITV ZIP PNONE STATELICENSEI <br />,�»�n�r Ntr,h_� ���i N��i—� F✓�a_�-t' 9d'?.�3 2S`1 F4�9/8 �EfF-I✓EH44t�.ODc�i <br />C�R�CT PFIGE OF WORK <br />85.54 . 3s <br />DESCN�B VIORKANDSOUl�REFOOTAGEINVOIVEg <br />!F {�I_.wre•!tt 2-4�TVN f <br />iAR �l �14NQ`4R� RAOM <br />� i�nl R�c uNCr-S <br />PROPOSEU USE OF BUILDING <br />IE��L DESGRIPTION OF PROPERTY (SNOVM BEL01 <br />LOT ��K � <br />PABCELTA%I.D,NIIMBER <br />COHSiNUCT10H �OA11 �ENDER. ADDRE55, TELEPH <br />SINK 6 <br />TRAY <br />FLOOR <br />TWOCOPIES) <br />TOTAL <br />FEE <br />FOR OFFlCE USE ONLY: <br />cnrwrccm�f.K REARSETBACK SIOE <br />USE <br />TYPE Of CONST <br />SIZE OF <br />�O7AREA <br />NO. OF gTORIES <br />fIRE CPRINKLERS REO'D <br />FIRE ALARM REO'D <br />v�qNSAPPROVEOBY <br />OATE <br />- Y�zu � �+ri'7 - <br />Z�p PHONI <br />CONTACT PERSON�ID PMONE N(� � <br />� HEREBY CERTIFV THAT I HAVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEHEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO dIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 7HIS PROPERTY TO PERFORM THE WORK fOR WMICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />NUMBEF <br />VRCANT SITE rcc� <br />❑ YES v N7 BUILDING <br />OCCuO�NCv HOIXVMLLUL�Hi15 �� <br />onouP pLUMBING <br />BnSEMENT MECHANICAL <br />❑ YES G NO <br />MEIGMTUMITATION ADDITIONALPLANCNECK <br />OTHER <br />S7ATE BUILUING SUFiCHARGE <br />CITY OF EVERETT I PUBLIC WORKS <br />3705 � TOTAL <br />M <br />E.A. <br />� CITY OF EVERETT <br />CONSTRUCTION <br />2ss-se�o PERMIT <br />i1 <br />P�rmit Numb�r: M44906 ADDRSSS lILB copy <br />esPA liumb�r� <br />I��u� Dat�s 07/13/94 <br />Job Addr���: �305 RUCRER AVS <br />HONO 86N�N7t�r DP]►(30N P71Li1CB RESTrURANT <br />4305 RUCKER AV6 <br />tVSR6TT NA 98203 <br />339-8088 <br />fi�n�ral Contraetor Plumbinq Contractor <br />Archit�et/D��iqn�r <br />N�chanical Contr�ctor <br />DBPSNDABLE HRI►TIB6 C 11/C <br />0402 HOYT 11VS <br />8VSR8TT WA 98203 <br />259-4918---- <br />DEPENH)1660DW <br />Niatinq 8yri�t�m: ONB�IC� Contact P�r�on <br />NS�C Cod�� Contr�et Pric�: 8556 <br />D��cription of Work: RBPL1►CE 2-4TON A/C UN2TS WITH 511ME <br />L�qal D��cription/ <br />Prop�rty IOZ <br />Con�Eruetian L�ndar� � <br />Propo�W U�� oi Buildinq: RBSTIIURANT <br />...........""""""""..s .............."""""""""............"'....."' <br />PLUMBIN4 �g�ry�I�y <br />Qty Typ� o! i�tuc� FN Qty Typ� of 6quipm�rtt F�� <br />2 A7C, A7HNDIA UNITB - H.P. <br />NECHANYGIL �QUIPt�NT !EE 110.00 <br />NBCNANICAL PEPMIT !'EE 15.00 <br />Sub Total Sub Total $125.00 <br />.'.""....."""""............�......�.��...."""""""""""""........" <br />BET811CIC POpTA6E OCWPANCY Vacant Bit�t TYPE O! OONBTRUCTION <br />�ront 0.0 Load No. Dw�llinq unit�e Allowabl�� <br />R�ar 0.0 6roup 81z� of Bldq= 7lotual: <br />Sid�l 0.0 / Stori�� 81s� of 6ar: U�� Lon�: <br />81d�4 0.0 Ba��nt? H�iqht Limits Fir� Sprinkl�r R�q'd7 <br />Lot Sa R�a�on lor Fira 8prinkl�r�: <br />l�ir� 711acfn R�q'd7 R���an Ror lir� J�larm: <br />Plan� Approved By: <br />City ot s�•r.tc Locai <br />8a1�� Tax Cod� ie 3105 <br />Plan Ch�ek A�c�ipt Nos Fea� �; <br />FEE TYP63 CONSTRUCTION VALUIITION <br />125.00 <br />Check F�� <br />mrw slss.00 <br />P�rmit• �xpir� if work not cortmencad within 18� �� o� caa�es moro then 180 day�. <br />� �� <br />M M � F <br />�N+ ►��] <br />UI N M <br />88 � <br />� M 44906 <br />� <br />• <br />