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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />COY'lSIT RUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />7ERMIT NO. 07180 <br />k�}j PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <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# <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />BA TE SI 224BK <br />PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE IF <br />Bates Plumbing 12725 28th Ave. N. E. Seattle 98125 362-6256 <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />PROPOSED USE OF BUILDING <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 AUTHORIZ AGENT DATE <br />•. A) <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT RLOCK.—OF <br />JOB ADDRESS <br />=11 Evergreen Way cd=c: <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINK,'IG FOUNTAIN <br />RANGE HOOD <br />FLOOR')RAIN <br />AIR HANDLING UNIT — C.F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />1 <br />Floor Sink <br />2 <br />00 <br />_ <br />SUBTOTAL <br />2 <br />SUBTOTAL $ <br />PERMIT $ <br />nn <br />PERMIT S <br />_ <br />TOTAL FEE $ <br />5 <br />00 <br />TOTAL <br />FEE $ <br />_ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLM! CHECK NUMBER <br />PLAN CHECK <br />FEE <br />_ <br />FEE <br />RECEIPT NO, <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <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 BASEMENT <br />APPROVALS <br />FIRE <br />REOUIRED <br />OYES <br />BY <br />SPRINKLERS <br />ONO <br />DATE <br />MECHANICAL <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />r <br />U.B.C. <br />SEC. 3D3 (e) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />5d <br />00 <br />4. FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />_ {I ['� <br />/ 6 14 0 0 5A Y �^ =C7 <br />•' �...� <br />YOUR REC E IPToro <br />T i/�NY Y.0 <br />I r L <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />x.c. <br />ADDRESS FILE <br />28 SIN 80 <br />