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� �, <br /> � APPLICATIQ`1 FOR CONSTRUCT�lN PERMIT � <br /> TO BE COh1PLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT f HEATING SYSTEM: �GAS ;J ELECTRIC J _._ _ _ � <br /> 259-f1810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING i SIGN <br /> i:WNLR 1.'NIADpRES$ CI1V ZIP PIIONL <br /> �icDonald's Corp. 10220 N. G. Points Dr Kirkland, WA 98033 827-9700 Jerry Kesselring <br /> i(NANi IAAIL RDDRE55 LrtV 2iP PHOHE <br /> nr.�Mi1f.CT09DE51GNEli MAIIADDRE55 CITV 21n PHONE <br /> Ruhl-Parr & Associates 3625 132nd Ave. S.E. Bellevue, wn 98006 644-4000 Jim Anderson <br /> GLNERAL COtITRACiOR ll�ADORESS CITV ]iP F�+ONF. STATE LIGLNSL� <br /> NlA �IYI '-� � f)Clil Q �OQ ��-;f• .�-- <br /> IAfCHANiCnLCONifiAGTOR MAILA��RE55 LITV ZiP PHON[ STI1TELiGENSEN <br /> N/A <br /> PWId�INGCONTRACTOR MAIIAD�RE55 GTy 21P VNONE S1AT[IICEN5E9 <br /> N/A <br /> COQ�Npif1ACT PR/I�C[OF WORN <br /> SUO�OO\I.00 <br /> D[SCNIPEWORNpIJD50UAREFODIAGEIIJVOLV[D CONiA TPEP" N NDPHONENO <br /> ��gSq,.1'r . ro an rzisring 462 .�lm ]�vc�erson (206) 644-4000 <br /> fasC food restauranC. <br /> SynChethic stucco finish and aluminum and <br /> I HEREBY CERTIFV THAT I F!AVE READ AND EXAMINED THIS <br /> ���� APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT ALl <br /> DIning and play area for cl�ildren PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> tecnioescaiptiorvovaaoaee*v�sMowr+eEtowoaartnc�itwocoriEsi WOAK WILL BE COtdPLETED WITH WHETHER ECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV[ <br /> tot e�ocrc oF AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> S'��� ���"r�, OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORA1ANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV TH[ <br /> OWNGR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPUCATION IS MA " AND I COMPLY WITH THE STA7E <br /> PRRCEI TA%I D NUTA6ER CO � ACTORS LAW 18. R AND 296.200 WAC. <br /> CONS�RUCTIOtILOANLLNOER,ADDRESS.TELEPNONENUM�ER <br /> — ����' � <br /> PR JECT ADDRESS "-'•' � ""` <br /> o2a �o�-p� Qv �.,������tit�s��--�. , <br /> PLUMBING ME ANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A'G—�NNDLG UNITS—H.P. _ <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E,A. <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M <br /> SHOWER ' CLOTHES DRV[RS <br /> KITCHEN SINK&DISP i VENTILATION FAN <br /> DISHW�SHER � RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOT4[5 WASHER � WOOD STOVE <br /> URINAL IdETAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN � HEAT PUMP � <br /> BAGKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINI.EADEfiS � EXHAUST FAN <br /> SINK�SERVICE—BAR,ETC.) <br /> —� <br /> SUB TOTAL 5 ' SU6 TOTAL $ <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S � <br /> FOR OFFICE USE ONLY: �.� -� C� - �-L%l� � � �/� <br /> FROf115ET�ACK RE�RS[TpACK SIDESEIB�CR �LANGMECH UMBEfi �E / RGCEIPiN � �"—' <br /> O C� v �.5 ` U' �`� 7, / � o�)yj�-� <br /> use zone ior naea vacnNT srt� FEES VALUATION FEE <br /> —a �7 YES �i NO BUILDIfJG 50 3 t,`) �eti�3� ' / 7 <br /> 7VPE OF CONSi NO.OF STOFIES o[Cuawcv x�orttnrtun,ak:+s — <br /> � � � ccnu> PLl'ABING <br /> SREOFBLDG. FlRESPH0INLERSREO'D BASEMENi � <br /> MECHRNICAL _' <br /> 8 a 3 r � �.1 N� �� ves -�� No — , <br /> ADDITI�NAL PLAN CHECK -: <br /> OCGUPPNGV LOAD FIRE ALARM FEO D ��( HBGHT UMITAT104 � I <br /> J <br /> a y �X � • �S OTHEF —' <br /> REASON ' <br /> STATE OUIIDING SURCHARGE . ��,� <br /> i�+rnrce er PlANS A PROV[0�V CITY OF EVERETT PU�LIC WORKS �' ���, ti,� ��� �r ; — <br /> � � LOCAL SALES j � � ;��� <br /> cn,e � TAX COUE IS 3105 rorni <br />