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, <br /> theEve�grcen ' ' �pNSTRUCT101�� <br /> CITY OF �+ <br /> everett PERMIT p�RMIT N0. 07917 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �PLUMBING <br /> OWNER MAILADDPE55 CITY ZIP FMONE <br /> Pirates Pizza Deli 4610 Everareen Wav <br /> AqLHITECTOR�ESIGNER MAILADDRE55 CITV ZIP PHONE <br /> GENEflALCONTPACiOP MAILAODRE55 CITY 21P PHONE LICENSE� <br /> MEGMANICALCANTflACTOR MFILA��flESS CITV ZIP PHONE UCENSEI <br /> PLUMBINGCONTRACTOR MAILAD�RESS CIiY ZIP PHONE LICENS[I <br /> Westgate Plumbing Inc. 23320 Edmonds, 98020 774-3564 <br /> C1A550f WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑R[PAIF ❑�EMOLITION ❑FENCE ❑SIGN OGARAGE <br /> VAWATION OF WOflK <br /> 5 <br /> �ESCFIBE WOflK <br /> PPOPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESCPIPTIONOFPflOPEflTY�5HOW8ELOWORATTACNFOUPCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> wr BLOCK_OF TYPE OF WORK WILL BE COMPLIED VJITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTI'ORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHI.,a STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR T.HE PERFORMAMCE OF CONSTRUCTION. <br /> JOB ADORESS SIGNATUR �CO T C F AUTH j ED AGENT DATE � <br /> 4610 Evergreen Way X �. ^ - 7/10/80 <br /> PLUMBING M CHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WA1EP ClOSET(LOIlET) Q AIF COND.UNI75—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> 2 LqVATORY(WASH BASIN) 4 00 BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-70NNAGE EA. _ <br /> KITCHEN SINK A DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS— B.T.U. h1 <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER 2 00 CLOTHES DRYEFiS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE H00� <br /> 1 FLOOR DRAIN AIR IIANDLIIJG UNIT— QP.M. <br /> . VACUUM BRFAKERS ' STOVE <br /> . ROOF DRAINS—RAINLEADERS METAL FIFEPLACE 8 CHIMNEY <br /> ' 1 $INK(SERVICE—BAR,EfC.) <br /> SUB TOTAL SI1B TOTAL S <br /> PERMIT S PERI�!iT S <br /> TOTAL FEE S O TOTALFEE S <br /> � SIDE YARD SETOACK STREET SETBACK F7EAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE , <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNI7S <br /> BUILDING S ' <br /> SIZE OF BLDG. N0.OF STORIES MAX.00C.LOAD <br /> PLUMBING 21 00 <br /> FIRE ZONE BASEMENT REOUIRED KLERS MECHANICAL <br /> OYES ❑NO <br /> APPROVALS BY DATE OTHEFi <br /> 1. ENVIRONMENTAL CHECK LIST pENALN U.B.C. <br /> SEC.303(a) ". <br /> 2. OUILOING PLANS 21 00 <br /> TOTAL <br /> 3. FIRE HYDRANT _ <br /> 4. FIRE PROTECTION 51'STEM PENMIT VALIOATION <br /> � WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOU P�jR1r111 .O Q ---- 3 <br /> 5. GRADING 4 5� Z � �) L � � <br /> 6. DRAINAGE ' r-I <br /> 7. ENVIRONMENTAL IMPACT STATEMENT v�y IJ e P.,EC L�'� <br /> B. HEALTH DISTRICT � �J <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY i t�F��,��� Y O� <br /> i . <br /> � � J Ul: $0 <br /> ADDRESS FILE <br /> r <br />