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",PFT.�TYOF CAISTRUCTIOIV <br />everett PERMIT <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT NO. 07180 <br />PLUMBING <br />OWNER _, MAIL ADDRESS WIT ur ...... <br />Moon Dragon Restaurant 6112 Evergreen Way <br />ARCHITECT OR DESIGNER - MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE UCENSE/ <br />BA TE SI 224BK <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />Bates Plumbing <br />12725 28th Ave. N. E. <br />Seattle 98125 <br />362-6256 <br />CLASS OF WORK <br />❑NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />❑DEMOLITION ❑FENCE ❑SIGN <br />❑GARAGE <br />VALUATION OF WORK <br />S <br />BUILDING <br />LEGAL DESCRIPTION OF PHDrtHI <br />LOT BLOCK_OF <br />JOB ADDRESS <br />RUN Evergreen Way <br />PLUMBING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHO�RIZI AGENT DATF <br />I z4v Z/__/i%i1 S! zop-1— saWat) /l�x1 <br />NO. TYPE 06 FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) AIR COND. 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 —TONNAGE EA. <br />KITCHEN SINK & DISP. FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER WALL HEATERS — B.T.U. M <br />... .............. UNIT HEATERS — B.T.U. M <br />FLOOR DRAIN _ _ AIR HANDLING UNIT — C.F.M. 1 <br />ROOF DRAINS — RAINLEADERS i I I I METAL FIREPLACE & CHIMNEY <br />SINK fSERVICF — BAR. ETC.) <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMULH <br />ru w <br />FEE <br />rcc <br />RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />5 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />OYES <br />SPRINKLERS <br />ONO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (R) <br />2. BUILDING PLANS <br />TOTAL � <br />5 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />7614 P ti J <br />YOUR P. EC E 1�PT o <br />THANK K YQ U <br />5. GRADING <br />G. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />K.C. <br />