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die L•berAreen �„� --� � N ST R U CT I 0 I� , <br />c�rv oi r W, r., <br />�verett ' ' <br />CITY MALL 259�8745 P E R M li PERMIT N0. 1 O 19 iS <br />EVERET7, WA 98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNEfl MAILApDRE55 �ITY ZIP PHONE <br />MIKE PEGRAM 7430 EVERGREEN WAY 98203 355-0443 <br />ARGMITEC7 OR DEoIGNEfl A1AIL q��RE55 CITY ZIP PHONE <br />GENEflAL CONTRACTOR MAIL ADDRESS CITY IIP PH01lE LICENSE Y <br />MECHANICAL GONTRACTOF MAIL ADORESS CITY ZIP PHONE LICENSE � <br />�li.�!� RAEDAR 625 NW h5th SEATTLE lJA 98107 784-0909 <br />PLUA. �:.G CONTRAGTOR IdAIL AOORE55 GTY 21P PHONE LICENSE M <br />OF <br />S <br />O NEW ❑ 1DDITION �J ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STUVEIFIREPLACE INSERT <br />Mechanical - turn grills around and install new <br />PFOPOSE� USE OF BUI�UING � <br />Restaurant <br />LOT__BLOCN_OF <br />7430 EVERGREEN WAY <br />PLUMBING <br />TYPE OF FIXTURE OR <br />'NATER CLOSET (TOILEn <br />BATHTU6 <br />LAVATORY�WASM BASIN) <br />SHOWER <br />KITCH[N SINIC 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKI�lG FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINR (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />TOTAI FEE <br />SIZE OF BLDG. NO. OI <br />FIRE ZONE BASEA <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. 9UILDING PLANS <br />3. FIRE HY�RANi <br />4. FIRE PROTECTION SYS fEM <br />5. GfiA01NG <br />6.OPAINAGE <br />7.ENVIqONMEN7ALIMPACTS'ATEMEN7 <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED <br />FOUF COPIES� <br />FEE <br />work <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNOW THE SAME TO 8E TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORD�NAtJCES <br />GOVERNING THIS TYPE OF WONK WILL BE COMPLIED WI7 H <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEP.FORMANCE OF CONSTRUCTION. <br />SIGNATUfj( OF fjONTP/�Cipp Oq AUiHORIZED AGENT GAiE <br />X <br />MEf <br />N0. <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P.EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYS7EMS B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />t1N1T HEATFHS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�IING U�IT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />i <br />S <br />S <br />REAR VARD SETBACK PLAN CHECK NIJ� <br />VACANT SITE <br />:::YES ;:NO FEES <br />MAX.00C.LOAO <br />REOUIRED <br />JVES I.'.NO <br />6UILDING <br />PLUMBING <br />MECHANICAL <br />OTHEF <br />PENALTY <br />3/10/86 <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE E <br />PLAN CHECK FEE <br />FEE FECEIP7 NO. <br />VALUATIDN FEE <br />5 <br />rora� � � 17 � 50 <br />PL:NMIT VALIDATION <br />WI1EN PROPERLY VALIDATEO (IN THIS SPACE) THIS I YOl1R LRMIT � <br />0 i: 6:I � � ��. 5 �) -pY( <br />""'' <br />,.. .. , ..,.. <br />r: � <br />ev . . . . . . � i i �•� . <br />. . . , . . . . i � <br />i„ <br />ADDkESS FILE <br />� i i ... .. t C(. <br />