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� �►F�PP�ICATIL,�1 FOR CONSTRUCI .ON PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION ���r/�� <br /> 3200 CEDAR STREET• EVERETT, YJA 98201 •259•8810 <br /> � <br /> t� QEMOUTION i I COMBINAYION r� BC'LDIrtG r1 MECHAMIC/tL � ' PLUINBING i 1 S�GN <br /> PRiDJECT ADDHESS � <br /> 3233 13ROADWAY � F.VERETT� WA. 96201 <br /> OWNER M�L�iK#iE55 OTY ZIP PHpV[ ' <br /> REN-�KO CHIU 3133 bROADStiAY EVERETT 98201 (206) 252--1663 <br /> TEN�NT n II//IlORE55 CITY �IP pHp� <br /> N/A`.i;//ntJ FLLI� (�!"✓�� <br /> r }� � <br /> �RCNRf.GTOROES�GHER M�II�DLK1(5 GIry llp ��F <br /> BAKER ENGINEERS P,O.BOX 1697, LYNNWOOD, Wh. 9804�6 (206) 772-6666 <br /> G[NCRPI CONTMCTOR MNl ADDRE55 GIiV ;.iP P1104E STATG t'CCY56� <br /> COBRA CONSTRpCTION C0. P.O. SOX 1299 EVERET'[', WA. 98206 (206) 258•-3667 COBRACC290BZ <br /> ll[CNRNIChL CONTRnCTOR �a�ll p�OFF55 CITV —_' ;IF PIIONE StatE UCENSE r <br /> �LUMBINGCONiRACTOR M�IlAU0RF55 CItY IIP FHONE ST4Ei1GEV5C• <br /> CONTRI1Ct PpICE OF WORK <br /> $10, 2Co. 00 HEATIMG SYSTEM: f � GAS gl ELECTi91C ' I <br /> OESCPIBE WORK AND SOURRE FOOtAGE�NVOlVEO GONTA�T PERSON�VU t'HONF NO <br /> STABILZZE EAS? END Oi' BUILDING WITIj U����� (��rl�3G,G��- <br /> FIVE (5) NEW PIERS --�f�� F� <br /> I HEREBV CERTII'Y THAT I HAVE READ AND EXAWINED TH�S <br /> rHoroseo use oF em�onuc -- - APPLICATION AND RNOW THE S�AIJE TO BE TRUE At iD CORRECT ALL <br /> RESTAURANT PROVISIONS OF LAN'S AND ORDiNANCES GOVERNIP7G TH�S TYPE OF <br /> WORK WILL BE COMBUED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAl0E5GRIPTIpNOFPNOPERTY�SNpWNBELOWONATT.1CHiWOCOPIES) NOT. THE GRANTING ,OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior BLOCK oF AUTHOFITV TO VIOLATE OR CANCEL THE PROVi510N OF ANY <br /> SEE ATTACHED OTHEF', STATE OR LOCAI.LAW REGULATING CONSTRU�TIOIJ OR THE <br /> PERFOaMANCE Of CONSTRUCTION.'iHAT I AM AUTNOAIZED BV THE <br /> OW OF THIS PROPEF?V TO PERFORM TNE WORK FOR WHICH <br /> AP IC 710N IS MADE AND t COM?LV WITH THE STATE <br /> PARCEL T/J(I D.NVMBER CO TR G70RS LAW 1827 RC AND 296200 WAC. <br /> SEE ATTACHED <br /> CONSTRUCTION LO�N LENOER.A�DRE55.TELEPNONE NUMBER X //� � ,_� l�c� <br /> �v <br /> si�a uvE oRT� <br /> / <br /> .treusn+essuct+vservo 011J03-01 <br /> PLUMBING MECHANICAL -- <br /> NO. TYPE OF FlICTURE OR I7EM FEE N0. TYPE OF EOUIPMEN7 FE�E <br /> WATERCLOSET�TOILET) � A/C—NHNDIGUNITS—H.P. —T- <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.II. M E.A. � <br /> � <br /> LAVATORY(WASH BASIN) i HEAT PUMP �— <br /> SHOWER UNIT HEATERS—B.T.U. M � <br /> _� <br /> KITCHEN SINK 8 DISP � CLOTHES DRVERS � <br /> DISHWASHER VENiILATION FAIJ '- <br /> LAUNDRY TfiAV ; RANGE HOOD � <br /> _ CLOTHES WASHER � N'ATER HEATER i <br /> URINAL � WOOD STOV[ � <br /> DRINKING FOUNTA�N METAL FIREf'LACE(N'OOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNMG) —~ <br /> BACKFLOW PREVENTERS ; GASFIREPLACE ' <br /> S�NK(SERVICE—BAR, ETC.) GAS��ANGE � <br /> GAS PIPING <br /> i <br /> � EXHAUSTFAN , <br /> � , <br /> � ; <br /> SUB TOTAL $ � SUB TOTAL $ � <br /> I� PERMIT § � PERMIT $ r <br /> TOTAL FEE $ � TOTAL FEt $ � <br /> IFOR OFFICE USE ONLY: <br />� fRONTSFiPACi( PEMSF.TBACI� SI�ESETBnCN PLANCIIEC✓.NUMA'n � fEE � REC[IPTNO. <br />' _�- - �� iv <br />, <br />� uselOr+[ iornaEn VqCqNiSITE .'�i_E5 VALUATION FEE <br />� IIYES fi Np T— <br /> — nmi.nwc; /Oz00 3.� ; 00 <br /> NEIGNT UMIT�TION NO OF OWELLING SIIE OP BLDGRI <br /> i UN17$ �— <br /> N PlUM91NG � <br /> , <br /> OCCUPANG� NO Of Sip�iFS OCCUPANT IOAD BRSEMEN7 —� <br /> GnOUP � � � n . MECNnNICRL _ i <br /> /'7 lf,Y�ES I I NO —�---" <br /> AUDI710NAL C nq CN@Ck � <br /> GIRE�URM REOD f1FAS0Y � i <br /> / 1 �— <br /> Nr� OiHER i <br /> — � <br /> fIRFSP/RIN' K1ERf1FOf1 RFASpN —_ / — <br /> �vl� STAtEBUItU'IfiSUP:;NRp(:E �� �'�' <br /> i _ <br /> rvreor��ons� rinNsnr �ycnov GTVOFEVERETT runncwoi�= <br /> Ci_ ,� ���' � LOCAL SALES — --- ---- -- <br /> oA-E //- 2 2-f J TA% CODE IS 3105 T0T4L <br /> � <br />