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, ;, M€ <br /> ,.. <br /> t <br /> !Gc E��ergrcen ,;�,O N ST R U C1�I O f�r <br /> C11Y OF �-"� y'w'4 �'::. �. <br /> ever�tt PERMIT PERMIT N0. 13711 <br /> CITY HALL 259�8745 <br /> EVERETT,WA99201 ❑ COMBINA710N ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER M.dLAODRESS CITY 21P 7HONE <br /> SHAMSI AFNAN 5233 Evergreen 41ay Everett ldA 98203 355-0159 _ <br /> AflCMITECT OR OESIGNEfl MAIL ADOflE55 CITY ZIP PHONE <br /> GENF.PFL CONTRAGTOR MAIL n�DflE55 CITV 21P FNONE LICENSE N <br /> MECHANICAL CONTflACTOR MAIL AUDRESS dTV 21P PHONE LICENSE M <br /> LANGS MECHANICAL PO Box 68853 Seattle 4!A 98168 �8% 575-6707 LANG5T202N7 <br /> PLUMBING CONTRACTOF MAIL AODRESS CITY ZIP PHONE LICENSE X <br /> CLA55OF WOAK <br /> CA NEW O AOOITION ❑ ALTEFATION ❑PEPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WOPK <br /> S <br /> OESCRIBE WORK <br /> 180' of gas piping for two cooking appl and 1 water heater <br /> PROPOSEOUSE OF 9UILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Tavern qppLICATION AND KNOW THE SAME TO BC TRUE AND <br /> �EGAL OESCflIPTION OF PROPERTY�SH01Y BELOW OP ATTALH FOUfl L'OPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOGN_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PEfiM1T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOC !:;W REGULATING CO STRUCTION OR THE <br /> PER O MANCE OF CONSTRUCT <br /> JOB ADORE55 SIGNA UN OF CONT Oq OR A OFIZED A ENT OATE <br /> 5233 Evergreen Way X �, � 7/31/84 <br /> PLUMBING MECH IC� L <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILEn AI OND. UNITS— H,P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. _ <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS fIRED A.C.UNITS—70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. _ <br /> DISHWASHER WALL HEATERS— B.T.U. M ' <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> �. WATER HEATER CLOTHES DRYERS _� <br /> � � , URINAL VENTILATION FAN <br /> . � CRINKING FOUNTAIN RANGE HOOD <br /> � � _ �� FLOOR DRAIN AIR HANOLWG UNIT— C.F.M. <br /> � . VACUUM BREAKERS S70VE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> � SINK(SERVICE— BAR,ETCJ FIREPLACEINSERT <br /> ��� HEAT PUMP <br /> � . Gas Piping 2 00 <br /> SUB TOTAL S SUB TOTAL S 2 00 <br /> PEHMIT S PEHMI7 5 0 00 <br /> TO7AL FEE S TOTAL FEE 5 12 00 <br /> � � SIUE VARD SETBACK STREETSETBAGK REAR YARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> �. � � � FEE RECEIP7 NO. <br /> "-�- � USE ZONF. LO7 AFEA VACAN7 SI7E FEES VALUATION FEE <br /> � GYES GNO — <br /> TVPI:OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS _ <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PWMBING <br /> FIRE ZONE BASEMENT q�EQUSRED KLERS MECHANICAL �Z Q� <br /> C:YES GNO <br /> APPROVALS BY DA7E OTHER <br /> I. ENVIRONMENTAI CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS TOTAL �2 OO <br /> 3.FIRE HYDRANT <br /> 4.FIRE PRO7ECTION SYSTEM PEHMIT VALIOATION <br /> S.GRADING WHEN PROPERLY VALIDATEO(W THIS SPQC��,7HIS IS+YQ,U@ P�RM171 � .A <br /> ti5 7 Atl I L � � `'� <br /> 6.DRAINAGE r- <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> 8.HEALTH DISTRICT ' � �, , r. ��•-� �� I F <br /> APPLICATION ACC. BY PLANS CHEGKED BY APPR, FOR ISSUANCE BY . , i i, �,� U <br /> ..� i . <br /> I I'll� u�� <br /> ADDRcSS FILE <br />