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� <br /> the£verJ;men �-_� - _. C O N ST R U CT I Q A, <br /> C�ivUF <br /> �� everett PERMIT PERMIT NO. ,-5�435 <br /> GI7Y HALI 259�B7d5 <br /> EVERE7T,VJA98201 ❑ COMBINATION ❑ BUILDING �X' MECHANICAL ❑ PLUMBING <br /> OWNER �dA�LADDFE55 pTY ZIP PMONE <br /> Safeek Ghazel 4602 Fowler Apt. 4 E;verett 98203 258-3092 <br /> AflGMRECT OR DESIGNER MAIL ADORE55 CITY 21P PMONE <br /> CENERAL LONTRAGTOR MAIL AOOFE55 CITY ZIP PHONE LIGENSE• <br /> MEGMANIGAL GONTflFCTOR MAIL ADDRESS CITY ZIP FMONE LICENSE• <br /> Hoxero, Inc. 13631 N.E. 124th Street Kirkland 98034 621-3333 <br /> PLUMBING CONiPACTOR IAAIL ADDFE55 CITY ZIP PHONE LIGENSE• <br /> . BAAHOREC**251QG <br /> ClA55OF WORK <br /> ❑ NEW ❑ ADUITION ❑ ALTERA710N C�REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE IhSERT <br /> VALUATION OF WOflK <br /> f <br /> DESCflIBE WORH <br /> 2 <br /> Install eshaust hood � <br /> -� <br /> PROPOSED USE OP BUIL�ING �-+ <br /> I HEREBY CCRTIFY THAT I HAVE READ AND EXAMINED THIS �-, <br /> Restaurant APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND !�^ <br /> LEGaL�ESCHIPTIONOFPPOPER7YISHOWBELOWORATfACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BIOCK_OF WHETHER SPECIFIED HEREIN OR NOT.T�HE GRANTING OF A -� '� <br /> PERMIT�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE N = <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR m <br /> LOCAL LAW REGULATING CONSTFUCTION OR THE � o <br /> PERFORMANCE OF CONSTRUCTION. �^ � <br /> JOB A�DflE55 SIGNAi ONTRA T R U HOPIZEO ENT .. DATE ,� C <br /> SC00 Evergreen Way X � �l�' —�'S � 3 <br /> � z <br /> PLUMBING MECHANICAL m � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE .o z <br /> WATERCLOSET(TOILEn AIR COND.UNITS - H.P. EA. � _ <br /> BATHTUB REFRIGERATION UNITS - H.P.EA. � �-+ <br /> LAVATORY(WASH BASIN) � � <br /> BOILERS - H.P. EA. < <br /> SHOWER GNS FIRE�A.C. UNI7S-TONNAGE EA. O n <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS - B.T.U. M EA. � 3 <br /> OISHWASHER WALL HEATERS- B.T.U. �+1 m F . <br /> LAUNDRV 7RAY UNIT HEATERS- B.T.U. M o tn <br /> CLOTHES WASHEF EVAPORATIVE COOLERS � m <br /> WATER HEATER CLOTHE;DRYERS 3 N <br /> URINAL VEN7ILATION FAN Z n <br /> DRINKING FOUNTAIN RANGE HOOD -� m <br /> FLOOF ORAIN AIR HANDLING UNIT- C.F.M. p <br /> VACUUM BREAKEPS S70VE -WOOD <br /> �--1 <br /> ROOF DRAINS- RAINLEADERS METAL FIFEPLACE 8 CHIMIJE'i __ n <br /> SINK(SFRVICE- BAH, ETQ) FIREPLACE INSER7 Z <br /> HEAT PUMP � <br /> 2 <br /> 1 Exhaust fan 6 00 y <br /> z <br /> 0 <br /> �ue roTa� s 10 50 � <br /> SUB TOTAL S n <br /> PERMIT S PERMIT S rn <br /> TOTAL FEE S 70TALfEE 5 20 SO <br /> SIDE YARD SETBACK STREE75ETBACK REAR YAR�SETeACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACANi SITE <br /> CYES !'.NO FEES VALUA710N FEE <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDINu 3 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT PIRE SPRINKLERS MECHFNICAL 20 SO <br /> REOUIRED <br /> ;_YES :.-NO <br /> APPpOVALS BY DATE OTHER <br /> 7.ENVIRONMENTAL CHECK LI57 PENALTY U.B.C. <br /> SEC.303 la) <br /> 2.BUILDINGPLANS 20 50 <br /> ' 3.FIRE HYDRAN7 TOTAL /� <br /> 4.FIPEPRO7EGilONSYSTEM PEHMITVALIDATION ���� ���P�RM�T � -` <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS IS IS <br /> m <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPACTSTATEMENT tf��'� f1\ �\�C���� <br /> 8.HEAL7H DISTRICT ' 1 1.� <br /> n ` `� <br /> APPLICATION ACC. 8Y PLANS CHECKED eY APPR. FOR ISSUANCE BY '��-�,���`�� O u~ <br /> � � SEP �ir� <br /> ADDRESS FILE <br />