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`�� - �'�7NSTRUCTION � <br /> everett PERMiT PERMITNO. � 7048 <br /> 259 -t3745 <br /> ❑ DEMOLITION ❑ COMBINATION C�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> O�EpRAYS DELI 1619 Broadwey REss Everett WA 98201 Z�P ��E <br /> �HCHITECt OR DESIGNER NRIL ADDRE55 CITY ZIP PIION[ <br /> GENENAL CONTRAGTOR MAIL AUDRE55 QTY 21P PMON[ IICENSE� <br /> Same <br /> MECHRNICALCONTNACTOF MAILRD�RESS CILY 21P PNONE LICENSE� <br /> PLUMBINGLJNTRACTON MAILAODRE55 GTY ilP PNCNE LiGENSE� <br /> CLR55 OF WORK <br /> ❑ NEW ❑ AUDITION ❑ ALTERATION C� REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATON <br /> VAW�TIDN OF WORK <br /> s 500.00 <br /> OESGRIBE WORN � <br /> Reroof <br /> NE�TSOURCE <br /> ❑ ELECT111CITY ❑ GAS O WOODSTOVE ❑ OTMER <br /> PHOPOSEO USE OF BUILOING <br /> Restaurant I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�l0E5CRiPT10NOFPqOPERTY�5HOW0ELOWORFTTACMFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ioT_o�ocK _ or GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AOORE55 SIGNRTUHE Gi CONTRACTOR.FUTIIOfli2E�NGENT.OR OWNER OAi[ <br /> 1619 Broadwa X 8 2 <br /> PLUMBING MECHANICAL <br /> HO. TYPE OF FI%TURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A�C—A/HNDLG UNITS—HP. <br /> BATHTUB REFqIGERATION UNITS—H P.EA <br /> LAVATORY�WASH BASIN� OOILERS—BSLIN.P. <br /> SHOWER GASFIREDAC UNITS—B.T.U. <br /> NITCIIEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDfiYTRAY UNITHEATERS--B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE MO00 <br /> BACKFLOW PFEVENTERS WATE(iHEATER <br /> ROOF ORAINS—RAINLEADERS WODD STOVE <br /> SINK�SERVICE—BA(i.ETC.1 METAL FIREPLACE 8 CHIMN <br /> FIREPLACEINSERT <br /> I1EAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB T0TI1L S SUB TOTAL <br /> PERMIT S PERMIT <br /> TOTALFEE S TOTALFEE <br /> fRONT SETBRLK RLFR SEiBr1CN SiDE SETBncR PLAN CHECK NUMBE(i FEE RECEIhT NO. <br /> US[20NE IOTARE� yqCANTSITE <br /> ❑res ❑r+o FEES VALUATION FEE <br /> TYPE OF CONST OCCUPANLYGROUP NO OF OWELIING UNiTS BUILDING S SOO.00 1 5 OO <br /> PLUMBING <br /> 512E OF 9LDG NO OF STORIES MA% OCC LOR� <br /> MECHANICAL <br /> INVESTIGA710N FEE Sec.304�e) <br /> FIRESPRINKLERSREQUIRED VE� NO <br /> STATE BUILDING SURCHARGE � 5O <br /> STATEENERGVSURCHARGE <br /> �PI'LICATIONACC 9V PLANSCMECK[0OY PPPR (ORISSUANCEOV <br /> �HNEWAY PERMIT <br /> TOTAL �6 5� <br /> PERMIT VALIOATION <br /> WHEN PROPEFLY VAUDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> � <br /> �� <br /> --1� �ti ���zs 3 -3 8Z � <br /> �� � <br /> , ,.� ; � ,. <br />