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, <br /> dieEvergreen ' ^ �ONSTRUCTIOI�� �J <br /> GTY OF <br /> everett PERMIT pERMIT N0. 07917 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br /> OWNEfl MAILPDDRESS GTY ZIP PHONE <br /> Pirates Pizza Deli 4610 Everareen Wav <br /> HfiCMITECT OR DESIGNER MAIL PD�RESS QTV 21P PMONE <br /> GENEflALCANTFACiON MAILAODRE55 CITY ZIP PHONE LICENSEI <br /> MECHANICALCONTMC1Jfl MPILAOORESS CIiY 21P PHONE LICENSE� <br /> PLUM�INGCONTR0.CTOR MAILAOOFE55 dITY 21P PHONE LIGENSE� <br /> Westgate Plumbing Inc. 23320 Edmonds, 98020 774-3564 <br /> CLASS OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE - <br /> VAIVATION OF'NORK <br /> 8 <br /> DESCflIBE WORK <br /> PROPOSED U'aE OF OUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL�ESCRIPTIONOFPROPEPiY15HOWBELOWORATTACHFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or B�OC�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUM[TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> — VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR T.H[ PERFORMANCE OF CONSTRUCTION. <br /> SIGNAIUP CO 1 C R AUTH IxED AGENT �ATE <br /> JOBAOOflE55 � 7/10/8U � <br /> 4610 Evergreen Way X � �-- <br /> PLUMBING M CHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> j WA7ER CLOSET(TOILEn AIR COND.UNITS-H.P.EA. <br /> BATHTUB REFRIGERATION UNITS-H.P.EA <br /> Z LAVATOflY(WASH BASIN) �I OO BOILERS-H.P.EA. <br /> SHOWER GAS FIRE�A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS-B.7.U. M EA. <br /> UISHWASHER WALLHEATERS-B.T.U. M <br /> LAUNDRY TRA1' UNIT HEATERS-B.T.U. M1 <br /> CLO7HE5 WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> 1 FLOOR OFAIN <br /> � AIR H4NDLING UNIT- QF.M. <br /> VACUUM BREAKERS ' STOVE — <br /> . ROOF DRAWS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> � 1 SINK(SERVICE-BAR,ETC.) <br /> SUB TOTAL SUBTOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTAL FEE 5 <br /> � SIDE YARD SETBACK STREET SETBACK fiFAR YARD SEfBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP�NO. <br /> USE ZONE L0T AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> 1 <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> �UILDING $ <br /> SIZE OF BLDG. NO.OF S70RIE5 MA%.OCC.LOAD 21 00 <br /> ' PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> OYES ❑NO <br /> APPpOVALS B1' DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS TOTAL 21 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEflMIT VALIDATION � ��.O O ` � <br /> WHEN PROPERLY VALIDATED(IN THIS SPAC�)CH;S�S YOUF�.P R I �- <br /> 5. GRAOING J � � a � <br /> � 6. DRAINAGE ' rr, � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT �n', {� P�CC1� <br /> 8. HEALTH DISTRICT \J,vJ , � Y��� <br /> APPLICATION ACC.BV PIANS CNECKED BY APPR.FOR ISSUANCE BY � �iF���� <br /> � r, <br />