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(he ErerArCrn <br />ri������I. � re�t����u��'�or� <br />cirr��nuz;,a�as �E�IYII� PERMIT iVO. 1=1 ' � <br />E"cFiETi,V1A98201 � COMBINATION � BUIL�ING � MECHANICAL � PLUMBING <br />�W�EA IAAILADDRESS COV ZIP PHONE <br />Rnund TaSle Pizza 237 North 143rd Seattle 98133 367-4884 <br />APGMITEGT OR �LSIGNER MAIL A��RE55 CITY ZIP PMONE <br />� GENEflALGONiflACipfl MAILqDDRE55 CITY <br />ZIP PMONE LICENSE x <br />Edward A. MCHugh Jr. Suite 2 545 lOdth N.E. Hellewe 98008 454-C640 <br />MECHAN�CAL CQNTBAGTOP N.AI� ApDF,ESS CRY ZIP PMONE LICENSE / <br />s <br />PlUA181NG CONTRACTOR MAIL ADDRf o5 qiY ZIP PMONE �ICENSE M <br />......... v. r�v� y� <br />❑ NEW ❑ ADDITION [���TERATION ❑ qEPAIR ❑ DEMOLITION [] FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WOqN - — <br />E BO�OOi1.O0 <br />DESCRIBE WOFN - <br />Tennant Improvement <br />LOT __ p�pCN _OF <br />JOB <br />1321 S.E. Everett Mall Way <br />PLUMBING <br />N0. 1'YPE OF FIXTURE OR <br />WATER CLOSET (TOILE� <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SH0IVER <br />KITCh'EN SINK & DISP. <br />DISIiWASHER <br />LAUNDRYTRAY <br />CIOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRI��KING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAl:EPS <br />ROOF �RAINS - '�AINLEAGERS <br />SINY. (tiGRVICE - BAA, ETC.) <br />1 <br />C-1 <br />Tl'F' OF CONST. <br />V-1 Hr. <br />SIZE OF BLDG. <br />9880 Sq. Ft. <br />SUB TOTAL <br />PERMIT <br />TOTALFE[ <br />A-3 <br />1 <br />BASEMENT <br />APPRCVALS <br />1. ENV'RONMENTAL CHECK LIST <br />2. DUILDING PLANa <br />3. FIRE HYDRANT <br />4. FIRE F'ROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT. <br />B.HEALTH DISTRICT --- <br />APPLICATIpN ACC. OY PLANS CHEC <br />STG <br />HWh1 <br />FEE <br />+ 30 <br />5 <br />S <br />REAR YARD SETBHC <br />N/A <br />VACANT SITE <br />!.YES -..NO <br />NO. OF DWELLING U <br />N/P. <br />IdAX.00C.LOAD <br />248 <br />FIRE SPRINKLERS <br />REQUIRED <br />._:YES ,XA(O <br />BY �APPR.FORISSUANCE <br />LC <br />I HEREBY CERTI�Y THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORHECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK VJILL BE COMPLIED WITH <br />bVH[THER SPECIFIED HEREIN OR NOT. THE GRANTIN3 OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />Orl CANCEL THE PROVISIONS OF ANY GTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNA/TyBE OF CO/y TP�A7C�T�OR O�R�A�UT�HOF/II� 0 AGENi DATE <br />i� l i._ YY /;' /'�/. T. -. /?_."' 1.:.7i/ <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AfR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.L'. M <br />UNIT HEATERS - g.T.U. M <br />EVAPORATI✓E COOLEFS <br />CLOTHES DPVERS <br />VENTILAT'ON FAN <br />HANGEHO'JD <br />AIF HANDLING UNIT - GF.M. <br />STOVE - �NOOD <br />MF'AL GIRc''IqCE & CHIMNEY <br />FIHFPLACE INS[RT <br />HEAT PUMP <br />2 <br />94/14230 <br />FEES <br />BUILDIMG <br />PLUMt31NG <br />MECHANICAL <br />OTHER <br />PENAITY <br />FEE <br />SUBTOTAL E ZG SO <br />PERMIT S <br />TOTAL FEE 5 ].O SO <br />PI.AN CHECK FEE <br />FEE242.45 I �ECEIPT NO. <br />72653 <br />VALUATION I FEE <br />g 80,000 <br />U.B.C. <br />SEC. 303 1•9 <br />373 UO <br />30 00 <br />1� �0 <br />� r <br />rora� I I 413Is0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE' THIS IS YOUR�P�RAqJT—" Q <br />M <br />N <br />- V i� �� <br />i � � t �. ' �, � <br />:�.U�Ri:SS 1=11.E <br />9 <br />