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, <br /> , - <br /> !he E��ergreen � ' C( N ST�U CT I O N y � � <br /> CITY OF <br /> everett PERI�IT PERMIT NO. OH199 <br /> CITY HAL1259�9745 <br /> EVEFiEI',WA 98201 ❑ COMBINATION �I BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 05'MEN MAILApDRESE CITY ZIP PMONE � <br /> Pirate' s Pizza 4610 Evergreen Way �verett <br /> AFCHRECT OR�ESIGNER MAIL ADDRE55 CIiY ZIP PMONE <br /> GENERALCONTflACiOfl MAILA�OFE55 CITY ZIP PH��Li'CC HLg�E. <br /> Berry Neon Co. Inc. 21027 - 61st W. , Lynnwood 98036 776-8835 SCL BE RR YN <br /> MECHANICAL CANTRACTOP MAIL AD�FESS CITY Z�P PHC�}�I LD�ICENSE I <br /> PLUMBINGCANTRACTOR h1AILA0DfIE55 CITV ZIP PMONE LICENSE! <br /> C1A550F WOPN <br /> ❑NEW ❑ADOITION ❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE K]S1GN ❑GARAGE <br /> VALUATION OF 1YORK <br /> = ZZrJ�. <br /> DESCRIBE WORK <br /> 3'x8 ' Dif sign between existing 8" sq pipes <br /> PFOPOSED USE OF BUILDING <br /> Restaurant I HEREBY CERTIFY THAT t HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCRIPiIONOfPROPERTY�5HOW0ELOWURATTAGHFOURCAPIE5) PLICATION AP1D KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERPIING THIS <br /> ior BLOCK_OF TYPE OF WORK WILL BE COMFLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRP.NTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TfiE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIQN OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOfi ADDRE55 SIGNATURE OF iRACTOR OR�AU �I /GENT DA7E <br /> 4610 Everqreen Way, Everett X �� �/\` /- �"+- — <br /> PLUMBING MECHA CAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILEf) Alfl COND.UNIT$—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILEFS—H.P.EA. <br /> SHOWER GAS FIRED P.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISNWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.7.U. M <br /> CLO7HES WASHER EVAPORATIVF COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINFL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE H000 <br /> FLOOR DRAIN AIR HANDLING UNIi— G.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—R.1INLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.E7C.) � <br /> i <br /> SUBTOTAL SUBTOTAL S <br /> 1� PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE 3 <br /> � SIDE YARD SETBACN STREET SEfBACK REAR 1'ARD SEfBACK PLAN CHECK NUMBER PIAN CNECK fEE <br /> fEE RECFIPT NO. <br /> ,S USE ZONE LGT AREA VACAN7 SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> 61ZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENi R�EOUIRED KLERS MECHANICAL � <br /> ❑YES ❑NO <br /> �� APPROVALS BY DATE OTHER <br /> l <br /> II 1. ENVIRONMENTALCHECKUST PENALTV U.B.C. � <br /> SEC.303(e) <br /> 1 2. BUILDING PLANS <br /> TOTAL 9 OO <br /> � 3. FIfiE HYDRANT <br /> i <br /> 4. FIRE PfiOTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> � 5. GRADING � Z J O ,� O O /. O O •-- `�' <br /> i. DRAINAGE � <br /> f 'r—� <br /> �� 7. ENVIRONMEN7AL IMPACT STATEMENT � f] <br /> B. HE�LTH DISTRICT ;�l� I� f� R L C L I 1 T � <br /> APPUCATION ACC.�Y PLANS CHECKED BY APPR.FOR ISSUANCE BY . . <br /> l�;;;'�,'J�: YG U <br /> - li ��' 80 <br /> ADDRESS FILE <br /> r <br />