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`��" "� CO"STRUCTlON <br /> CITY OF <br /> everett PERMIT PEFtMITNO. � U��u <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMB�NATION ❑ BUILDING �C7 MECHANICAL ❑ PLUMBiNG ❑ SIGN <br /> OWNER �•��It POORE55 CITY ZIP VhONE <br /> 7byama Restaurant 10121 Everyreen Way Everett, WA 353-4191 <br /> APCHITECTORDESIGNER MA�LAD�RF55 CITV 21P PNONE <br /> GENERALCONTflACTOR MAILROORESS GitY ZIP PNONE �ICENSE� <br /> IIiZ�ZX�csaXF8�u4dX <br /> MECHANICAICONtqACTOR MFILADDRES; CIiY ZIP PMONE UCENS[� <br /> Harbor Island Sheet !•:etal 513 N 36 Seattle, WA 98103 633-5330 HARHOIS290C3 <br /> PWMBiNGCONTRRCTOR MAILAOORESS CITV ZIP PHJNE l'CENSEr <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ AI.TERA710N ❑ REPAIfl ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VRLUATION OF WORN <br /> $ <br /> OESCRIBE WOnN � <br /> Clacc I hood and make�n air <br /> Henrsounce <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROVOSED USE OF B W LDING <br /> I HEREBY CEhTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLIGATIGV AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTV�SMOW6ELOWOPATTACHiOURCOGIES) COFRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_oiocrc _oF � WHETHER SPECIF�ED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDflE55 SIGN OF CO ACTOR AUTHO ED AGENT.OR OYJNER DATE <br /> 10121 Evergreen Way X � <br /> PLUMBING MH ANI(:A <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—B.T.0 MP. <br /> SHOWER GAS FIRED A�C.UNITS—B.LU. <br /> KITCHEN SINK 8�ISP. FORCED AIR SYSTEMS—8 T.U. M EA. <br /> OISHWASHER WALIHEATERS—BS.U. M <br /> LAUN'JRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES W�SHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOFlDRAW � RANGENOOD <br /> 6ACKF�OW PREVENTERS WATER HEATER _ <br /> ROOF ORAINS—RAINIEADEP.S H'OOD STOVE <br /> SINK(SERVICE—BAR,EiC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPIACE INSERT <br /> -- HEATPUMP <br /> GAS PIPING n '$ <br /> EXHAUSTFAN <br /> 5UBTOTAL S S�d � <br /> PERMIT S PEp <br /> TOTAL FEE S TOTAL FEE <br /> FRONT SETBNCK REAR SETBAGK Si�E SETBFCN p�qN CMECK NUh1BER FEE RECEIPT NO. <br /> USE ZONE LOT AREA yqCANT SITE <br /> ❑r�s pNo FEES VALUATION FEE <br /> TYFEOFCONST OCLUPANCYGROUP NO.OF�WELLINGUNITS BUILDING S <br /> PLUMBING <br /> 512E OF OLDG. NO OF STORtES 1AA%.OCC.LOAO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.3041e) <br /> FIPE SPRINNLERS REOUIRED ❑�ES O NO $7qTE BUILDING SURCHAqGE <br /> STATEENERGYSURCHARGE <br /> APPLIC4TION ACC DY PLANS CHECNEO BY APPR FOR ISSUPNCE�Y <br /> ORIVEWAY PERMIT <br /> TOTAL 34 0 <br /> PERMIT VALIOATION <br /> WHEN PFOPERLY VALIOATED(IN THIS SPACE�TH1515 VOUR PERMIT <br /> � <br /> �� <br /> � <br /> �� <br /> e� <br />