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� � � <br /> `'"�`'�TYeor' C(',N�`�RUCTION --� <br /> everett PERMIT pERMIT RIO. Q�52H <br /> GTY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COAIBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br /> OWnA . MAILADDRE55 CIT\�— ZIP PHONE <br /> Pizza Haven 5201 Evergreen Way 98203 <br /> ARCHRECTORUESIGNER MFILAb�qESS dT:' ZIP PHONE <br /> GENERAL CONTfAGTOR MAIL:.UDflE55 CITV 2IP PHONE UCENSE I <br /> IAECHANILALCONiRFCTOR MA�lnUORESS QTY ZIP PMONE L!.ENSEI <br /> Mackenri biech Tnc . 182U4 Bothe].l Way Bothel 98011 481-6888 <br /> PLUMpINGCANiRACTOR MAILFODPESS CITV jIP PHONE UCENSE� <br /> CLASS OF WORK <br /> ❑NEW ❑nDD1TION ❑n!.iERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPo�GE <br /> VALUATION OF WORK <br /> 5 <br /> OESCRIBE WOPN <br /> PFOPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCRIPTIONOFPROPEPTV�SHOW�ELOWOflATTACHFOUNCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> HLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BLOC�OF TYF� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PEHMIT DOES NOT <br /> PRESUME T7 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF A�lY' OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION 03 THE i'ERFORMANCE OF CONSTRUCTION. <br /> J0�AODRESS SIGNqTUR F WNtpAGT�.q p�l AUTHORI2EU AGENT DATE <br /> 5201 Evergreen Way X � � 11/4/80 <br /> PLUMBIkG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FCE N0. TYPE OF EOUIPMENY FEE <br /> WATER C�OSET(fOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB qEFRIGEFA710N UNIiS—H.P.EA <br /> LAVnTORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED H.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 L15�. FORCFD AIR SYSIEMS—B.T.U. M EA. -7 <br /> DISHWASHER WAIL HEATEPS—B T.U. M <br /> LAUNDRY TFAY � UNIT HEATEFS—B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEfi CLO7HES DRYERS <br /> URINAL l'ENTILATION FAN <br /> DRINKING FOUNTAIN 1 RANGE HOOD <br /> FLOOF DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREANERS STOVE <br /> ROOF DRAINS--RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE--BAR.ETQ) <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PEHMIT S <br /> TOTALFEE f TOTALF'cE E lh 00 <br /> SIDE YAP.D SI-7BACK STREET SEf�ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEF. RECEIP�t�0. <br /> USE ZONE LOT AAEA V.ACANT SITE <br /> ❑YES ❑NO FEFS VALUATION FEE <br /> TYPE OF CUNST. OCl'UPANCY GROUP NO.OF DWELI.ING UNITS � <br /> ' BUILDING $ <br /> SIZE OF BL�G. NO.OF STORIES MA%,OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS — <br /> REOUIRED MECHANICAL 1S 00 <br /> ❑VES ❑NO <br /> APPROVALS BY UATE OTNER <br /> 1. ENVIRONMENTAL CHECK LIST PENA�n• U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIREHYDRANT TOTAL 15 -- 00 - <br /> 4. FIRE PROTECTION SYS7EM PEflMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)i HIS IS YOi1R PERMIT <br /> - 5. GRADING ' <br /> , � 6. DRAINAGE ' O O � y $ p I 5. 0 0 -�1 <br /> ,• 7. ENVIRONMENiAL IMPAC7 STATEMENT � <br /> - B. HEALTH DISTRICi � <br /> APPLICATION ACC.BV PLANS CHECKED BY .�PPR.FOR ISSUANCE BY `� ��1� -� �� R':C i:I PT� � <br /> ; , , ..,,; „C` U <br /> �, , :� , .�. i <br />