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d1PEvl <br />CITYOF CONSTRUCTIC N <br />CITY O <br />everett PERMIT PERMIT NO. 12868 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />P Charles Burgess 2800 Rainier Bank Tower Seattle 464-4196 + <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE i <br />z <br />C <br />a <br />GENERAL GONTRACTUn 1---� -- <br />Brown REmodeling 4420 Grand Everett 98203 258-1331 <br />PHONE LICENSE A <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP <br />PLUMBING CONTRACTOR MAIL ADDRESS :ITY ZIP PHONE LICENSE II <br />CLASS OF WORK Ely.n [�� <br />NEW ❑ADDITION ALTERATION ❑REPAIR El DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />f 1,000.00 <br />DESCRIBE WORK <br />Extend low wall to ceiling -build low wall -Raise floor 16"-G'xl2' room <br />PROPOSED USE OF BUILDING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />restaurant APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES, CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT Do ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANC9L THE PROOR IONS OF ANY OTHER SOR <br />LOCAL AW R UL TING CONSTRUCTION OR THE <br />PERFO ANCE Fj C STRUCTION. <br />JOB ADDRESS <br />SIGNtqfE <br />OF CONTNAt%ON nulnvnicev nacrvi- <br />X <br />' XYY <br />1/5/84 <br />3120 Hewitt Avenue <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 />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />2 <br />SINK (SERVICE — BAR• ETC.) <br />4 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />4 <br />O <br />SUB TOTAL S <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />S <br />4 <br />00 <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />YES NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$1,000.00 <br />17 <br />SO <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX, OCC. LOAD <br />4 <br />00 <br />PLUMBING <br />FIRE ZONE <br />3ASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REQUIRED <br />OTHER <br />YES NO <br />PPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRAL CHECK LIST <br />PENALTY <br />SEC. 303(a) <br />2, BUILDS — <br />TOTAL <br />21 <br />SO <br />3. FIRE P'4. <br />FIRE ION SYS M <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THI$ $P/�QEI THI%IyyjP�i <br />ITI <br />5.GRADI <br />U'T OC <br />YOUR RL C F I PTO <br />THANK YOU <br />6.DRAI�"°� <br />W�jq <br />7.ENVIFALIM TSTATEMENT <br />—_HEAL�ICT <br />t <br />APPLICC. B O <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />L.; <br />n <br />