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lhe Ll�erxreen <br />�,r� o� <br />�v�rett <br />C!TY HALL 259�8745 <br />EVERET7. WA 98201 <br />r - CONSTRUCTIC��V <br />P�i�IyIIT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT N0. 131 � � <br />❑ PLUMBING <br />OYlNER MAILA��RESS CITY 21P PMONE <br />Chef Tony's 7601 Evergreen Way Everett 98203 355-8300 <br />ARGMITECT OH �ESIGNER MpIL AOOflESS CITV ZIP PMONE <br />GENERAL WNTRACTOR MAIL A000ESS CITV ZIP PHONE UCENSE M <br />Jim Manning & Assoc. 9003 220th S.W. Edmonds 98020 774-1964 <br />MECHANICAL GONTRACTOR MAIL POORE55 CITY ZIP PHONE LICENSE N <br />JIhII9AA208MB <br />PLIIMBING CONTRACTOR IAAIL ADDP.E55 CITY ZIP PHONE LICENSE N <br />� NEW ❑ ADDI710N ❑ ALTERA710N ❑ REPAIR ❑ DEMOLITION O FENCE �(SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VAll1ATI0N OF LYORK <br />S 95��.0� <br />install illuminated sign <br />OR ATfP:H <br />�or <br />7601 Evergreen Way <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORY(WASHBA�IN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHVJASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WA7ER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVIGE - BA(i, ETQ) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />SE7BAGK S7REET SETBA <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYCRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAPMG <br />6. DRA'NAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />RF <br />S <br />S <br />REAR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <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 />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOF OR AUTMOPIZE� AGEN7 �ATE <br />X Check #3185 4/9/94 <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />REFFIGERATION UNITS - H.P. EA. <br />BOILERS - H.P.EA. <br />GAS FIRE� A.C. UNI7S - 70NNAGE EA. <br />FORCE� AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLEFS <br />CLO7HE5 ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPIACE 8 CHIMNEY <br />FIFEPLACE I�ISERT <br />HEA7 Pl1MP <br />::YES :_;NO <br />-;�.V-E�S -:NO— <br />BY I UATE <br />� <br />SUB70TAL E <br />PERMIT 5 <br />TOTALFEE S <br />FEE I RECEIPT NO. <br />FEES I �ALUA710N � FEE <br />BUILDING S 4SU0.00 18 00 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENA_TY SECV3�3�a) <br />TOTAL 18 OO <br />PEflM1T VALIOATION <br />WHEN PROPEflLY VALIDATED (IN THIS SPACE) THIS�IS Y U� PERMIT (� <br />O�CI �,(I�t;,00-00 <br />� <br />M <br />er , . .. : : i (' T �--� <br />. , �� <br />FlDDRFSS FILF <br />, <br />� � �. c�" <br />z <br />0 <br />-i <br />c� <br />m <br />�� <br />.. .� <br />tn x <br />0 <br />m <br />cv <br />m o <br />-1 c <br />O 3 <br />-1 z <br />x� <br />m <br />D 2 <br />C <br />a --i <br />r x <br />..-� .-� <br />� N <br />K <br />O .v� <br />-n n <br />3 <br />-� m <br />� <br />m .-� <br />N <br />O <br />or <br />c� m <br />C V) <br />3 Vi <br />m <br />z c� <br />-i r <br />• m <br />a <br />A <br />�--I <br />s <br />a <br />Z <br />� <br />2 <br />N <br />z <br />O <br />r�. <br />['� <br />m <br />