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fHe�"��'Y�F �— COIVSTRUCTIG�� <br />ev�erett PERMIT PERMIT NO. 1��4C <br />CITY HALL 259-8745 <br />EVERETT,WA9B207 ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILADDRE55 ,.' �� ]IP PHONE <br />Beyene Giuililat 9701 Evergreen W3;• Everett 98204 <br />FFCHITECT OR �ESIGNEfl i.1qIL ADDflE55 CITY ZIP PHONE <br />GENERAL CONiflACTOR lARIL ADDRE55 CITY ZIP PMONE LICENSE N <br />Same <br />MECMANICFLCONTRACTOR MAILADDRE55 CITY ZIP PHONE LICENSEI <br />PLUMBING CONTRACTOR MAIL ADOflE55 CITY ZIP PHONE LICENSE N <br />CI NEW ❑ ADDITION 7Q ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />3 $,000.00 <br />IESCRIBE WONK <br />Remodel-tenant improvement <br />walk in restaurant � <br />LOT_BLOCN_OF <br />9701 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTU <br />WATER CLOSET QOILEn <br />BATHTUB <br />LAVA70RY�WASHBASIN) <br />SHOWER <br />LAUNDRYTRAY <br />CLOfHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUf1TAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, EfC.) <br />SUB TOTAL <br />PEHMIT <br />70TAL FEE <br />APPROVALS <br />"� 1. ENVIRONMEN7AL CHECK LIST <br />2. BUILDING PLANS r' <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM� <br />5. GRADING <br />-6:DRAINAGE � . .., <br />L <br />r -� <br />IMPACTSTATEMENT <br />JN ACC: BV • PLANS CHEI <br />� � <br />' _� DAB <br />- � <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ARACHFOUflCOPIES� CORRECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLICD WITH <br />!'JHETHER 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 R' ,;ULATING CONSTRUCTIO;V OR THE <br />PERF MANCE UF CO UCTION/ <br />SIGN E OF CONTRACTOR 0 UTHORliE9 AG➢IPT �� DATB <br />� <br />i <br />S <br />REAR YARD SETBACK <br />VACANT SI7E <br />:-.;YES I.:NO <br />NO. OF DWELLING UNITS <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />CYES ❑NO <br />B� <br />eY APPR.FORISSUANCE BY <br />DAB <br />TYPE OF EUUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UN:TS — H.P. EA. <br />BOILEFS — H.P. "cA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — �.7.U. M EA. <br />WALL HEATERS — 9.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYEPS <br />[C� 1 1 <br />RANGEHOOD <br />AIR HANOLING UNIT — <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />84/14040 <br />C.F.M. <br />SUB TOTAL S <br />PENMIT S <br />TOTAL FEE S <br />FEE 32.83 I RECEl24�7 <br />7 <br />VALUATION FEE <br />gIIILDING SS�OOO. <br />PI U!n81NG <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL <br />PERMIT VALIDA710N <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) <br />i , J � <br />ADDRESS FIL[ <br />THISrIS_Y�Uji PER�MIT � <br />': �; � 5 <br />� <br />� <br />. _ i , � ,�.a <br />il <br />i . . <br />� <br />� <br />`4 <br />