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ihe £��er,�reen � <br /> everett �� ��T��CTIO �� <br /> CITYHALL259�8745 I�ERIIIIIT PERMIT NO. 1� 51g <br /> EVERETT,lNA�JB201 � COMBINATION ❑ 3UILDING � MECHANICAL ❑ PLUMBING <br /> OvlNER �NAIL AODRE55 CITV <br /> Pat Howell 10020 Evergreen Way South Z1P PHONE <br /> Everett 98204 745-4455 <br /> ARCMITECT OR DESIGNER MAIL AD�RESS CITV <br /> Z�P PHONE <br /> � GENERALC0IJTRACTOR MFILAODRESS CRV <br /> Z�P PMONE LICENSE M <br /> MECHANICAL CONTRqLTOB MAIL pODRESS C17Y <br /> � $2YV10E5 P��� $OX 2437 Z�P PHONE LICENSEN <br /> Everett 98203 347-3415 <br /> PLUMBING CONTRhCTOR MAIL qODPESS CITY <br /> ZIP AAASE166°��NE I ICENSE M <br /> CLASS OF WORN � <br /> O NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT ` <br /> VALUATION OF WORK <br /> f <br /> DESGRIBE'NORK <br /> Install commercial type II kitchen hood <br /> PROPOSED IISE OF B111L01NG <br /> Restaurant I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br /> LEGALOESCFIPTIONOFPFOP'cRTV�5HOW8ELOWORATTACHF0URC0(+IES) APPLICATION AND KNOW THE SAME TO BE TRUE ANU <br /> IOT�_BLOCK_pF GOVERN NG THISRO PIE OF WORK WILL BE COMP�LIED WITH <br /> WHETHER SPEC�FIED HEFEIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> JOBADDRE55 PERFORMANC FC E f1CTI0N. <br /> - SIGNA7URE 0 P Af 9 - RIZEO AGENT �ATE <br /> 10020 Evergreen Way X'� / 3/1/85 <br /> PLUMBING MECHANIC <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> WATEFCLOSET(TOILEn FEE <br /> AIR C JND. UNITS– H.P. EA. <br /> BATH7UB <br /> REFRIGERA710N UNITS – H.P. EA. <br /> LAVATORY(WqSH BASIN) BOILERS– H.P. EA. <br /> SNOWER <br /> GAS FIRED A.C. UNITS–TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCEG AIR SYSTEMS– B.T.U. M EA. <br /> _� QI3MN/ASHER -- <br /> WALL IIEATEflS– B.7.U. M <br /> L4UNUflYTRA'f UNIT HEATEFS– B.T.U. -- <br /> CLOTHES WqSHER M <br /> EVAPORATIVE COOLERS <br /> WATER HEATER <br /> CLOTHES�RYERS <br /> URINAL <br /> VENTILATION FAN <br /> �- GRINKING FOUNTAIN 1 RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT– 5� <br /> VACUUM BREAKERS C.F.M. <br /> STOVE– WOOD <br /> ROOF DRAINS– RAINLEADERS METAI FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE– BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 �7�d1Y Exhaust Fan <br /> SIIB TOTAL S SUB TOTAL g <br /> PERMIT S PEFMIT S <br /> TOTAL FEE 5 1 <br /> TOTAL FEE g 2 <br /> SIDE YARD SETBACK S7REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER <br /> PLAN CHECK FEE <br /> USE ZONE LOT qqEA VACANT SITE FEE RECEIPT NO. <br /> :-IYES .';NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROl1P NO. OF DWELLING UNITS <br /> SIZE OF BL�G. IJO. OF S70RIES MAX.OCQ LOA� BUILDING S <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINhLERS <br /> FicOU1RED MECHANIGAL <br /> ":YES . �.NO 2O SO <br /> APPflt7VAL5 B5' DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST U.B.Q "' <br /> ' 2.BUILDING PLANS PENALTY SEC.303(a) <br /> 3.FIREHYDRANT TOTAL ZO O <br /> 4.FIpE PROTECTION SYSTEM PERMIT VALIDP'i ION <br /> 5.GRADING WHEN PROPEALY VALIDATED QN THIS SPACE)THIS IS YOOFt�PERMI f—t^��, <br /> QORAINAGE ' - • - <br /> 7.ENVIRONMENTALIMPACTSTATEMENT ��• <br /> B.HEALTH DISTRICT <br /> L . APPLICATION ACC. BV PLANS CHECKED BY APPR.FOR ISSUANCE BY � �' �" � ' �`` <br /> �' n <br /> � � <br /> � <br /> $�J BW <br /> �..i <br /> ADDkESS f-ILE <br />