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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />CONSTRUCTIO"'' <br />PERMIT <br />❑ COMBINATION ❑ BUILDING 9 MECHANICAL <br />PERMIT NO. 14936 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />STEVEN YI (FISH $ CHIPS) 1402 SE Everett Mall Way Everett 1VA 98204 355-2353 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP P'IONE LICENSE# <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />EYLANDER INDUSTRIES PO BOX 5629 Everett IVA 98206 259-2161 EYIMI161MR <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />f2 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF <br />S <br />PROPOSED USE OF BUILDING <br />Restaurant <br />I HEREBY'CERTIFY THAT I HAVE READ AND EXAM;NED 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 CONSTRUCTION. <br />SI URE OF NT R ARIZgD.1%.LNT DATE <br />X4 0 T 6/5/85 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />1402 SE Everet Mall Way <br />PLUMBING <br />E ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET( TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 8 DISK <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />1 <br />VENTILATION FAN <br />4 <br />50 <br />DRINKING FOUNTAIN <br />], <br />RANGE HOOD <br />4 <br />50 <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />a <br />SUB TOTAL $ <br />9 <br />00 <br />PERMIT <br />$ <br />PERMIT $ <br />l0 <br />00 <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />19 <br />00 <br />SIDE YARD SETBACK <br />STREET F05ACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES :-NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC, LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />:YES '-NO <br />MECHANICAL <br />19 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />19 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE)..TH IS 1S.1 OUR PERMIT („Q <br />I cr <br />� <br />cy <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />--I m <br />nx <br />m <br />0 <br />ma <br />C) <br />O 3 <br />�z <br />x -H <br />m <br />A z <br />C <br />r 2 <br />0 n <br />—I m <br />x <br />m ~~ <br />N <br />O <br />or <br />Cm <br />C N <br />zm <br />c'1 <br />—I r <br />• ri <br />n <br />A <br />S <br />Z <br />--1 <br />x <br />C <br />z <br />O <br />--I <br />n <br />m <br />ADDRESS FILE <br />