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the Evergreen _ <br />CITY OF �- <br />everett <br />259-8745 <br />C``�NSTRUCTION <br />PERMIT <br />PERMIT NQ: 19387 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING nMECHANICAL '❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />W.D. Tackitt 9506 19th Ave. SE Everett, WA REM 98208 .337-1234_ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CI rY LIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />W.D. Tackitt <br />MECHANICAL CONTRACTOR <br />CITY <br />PHONE UCFNSE <br />Everett Sheet Metal Cedar St. Everett, WA 98201 252-1434 yr FSM;61 Dz _ <br />PLUMBING CONTRACTOR MAIL ADDRE35 CITY ZIP PHONE LICENSEn <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ncALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF NORK <br />s 1500.00 <br />DE5CPIBE WORK <br />New hood installation. <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Restaurant <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF u,'"IS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW RECULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SI XjTURE OF CONTRACTOR: AUTHORIZED AGENT. OR OWNER DATE <br />CA ��'7! ��^-61`-'1✓ <br />LEGAL DESCFIPTION OF PROPERT�(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF— <br />JOB ADDRESS <br />504 Ig h Av <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS — B.T.0 JH. P. <br />SHOWER <br />I GAS FIRED A.C. UNITS — B T U. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS —B T. U. M <br />LAUNDRYTRAY <br />UNIT HEATERS —B.T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />50 <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADSRS <br />WOOD STOVE <br />SINK (SERVICE —BAR ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />$ <br />SUBTOTAL s <br />6 <br />SO <br />PERMIT <br />$ <br />PERMIT <br />15 <br />00 <br />TOTAL FEE <br />$ <br />TOTAL FEE s <br />21 <br />50 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />S1ZE OF BLDG. <br />NO OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />21 <br />50 <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304)e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE <br />B.E. <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />21150 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />ADDRESS FILE <br />