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I <br />r "YO N ST R U CT I O N <br />evereit <br />PERMIT <br />PERMIT NO. <br />13719 <br />j7 CITY HA(�L 25 �745 �, <br />EVERE:S, Ai 9*g" u❑ <br />Cd i6iNATION 1R BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />LADDRESS CITY <br />ZIP <br />PHONE <br />M & S Bowling <br />9630 Evergreen Way Everett <br />98204 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE # <br />Tom Gepner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE# <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # <br />.-- V ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIF-IREPLACE INSERT <br />s 190,000.00 <br />T.T.ii #•:.... 4r. c+inn l...i l.Ti .... <br />PROPOSED USE OF BUILDING <br />Bowling and Restaurant <br />9 <br />t 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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF ONSTRUCTION. <br />SIGNATURE OF CONTRACT OR AUTHORIZED AGENT DATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />13 28 4 <br />JOB ADDRESS <br />9630 Evergreen Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />3 <br />LAVATORY(WASH BASIN) <br />6 <br />00 <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINK & DISP. <br />2 <br />00 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />2 <br />DISHWASHER <br />4 <br />00 <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />2 <br />00 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />4 <br />50 <br />6 <br />FLOOR DRAIN <br />12 <br />00 <br />AIR HANDLING UNIT — C.F.M. <br />2 <br />VACUUM BREAKERS <br />4 <br />0 <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />2_1 <br />--� <br />SINK (SERVICE — BAR, ETC.) <br />4 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />$ <br />30 <br />00 <br />SUB TOTAL $ <br />4 <br />50 <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />E <br />30 <br />00 <br />TOTAL FEE 5 <br />Q <br />5O <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />84/13719t <br />PLAN <br />CHECK FEE <br />RF F1P7 No. <br />�llFlELE <br />USEZONE <br />C-1 <br />LOT AREA <br />VACANT SITE <br />YES X3110TYPE <br />FEEB <br />OF CONST. <br />V-1 Hr. <br />OCCUPANCY GROUP <br />A2-1 <br />NO. OF DWELLING <br />0 <br />UNITS <br />BUILDING <br />658 <br />00 <br />SIZE OF BLDG. <br />3200 Sq. Ft. A <br />NO. OF STORIES <br />d'n 1 <br />MAX. OCC. LOAD <br />150 <br />PLUMBING <br />30 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />u YES ENO <br />MECHANICAL <br />4 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. C303(e) <br />692 <br />50 <br />2. BUILDING PLANS` <br />TOTAL <br />�j),j <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S.GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT cr <br />�G58.00-14 <br />(Y) <br />I P T' <br />' 6. DRAINAGE. .,-. <br />- 7.ENVIRONMENTAL IMPACT STATEMENT <br />8 'HEALTH DISTRICT W <br />APPLICATI N ACC. BY • <br />STG, <br />C <br />PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />LC <br />- 11 'SIP � q <br />ADDRESS FILE <br />all <br />-J 2 <br />