1402 SE EVERETT MALL WAY FISH AND CHIPS 2018-01-02 MF Import

APPLICATION FOK Ills Evupreen CONSTRUCTIONcm OF everett PERMIT T'. IN BLACK INK — PLEASE PRINT BUILDING DEPT. 259.8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL OWNER MAIL ADORESS CITY ZIP Fisf /Z/n2 Ste, �0KC T toy, eorurtrrT nw nFRIGNER MAIL ACDRESS OITY ZIP ❑ PLUMBING everepN SIGN LICENSER GENERAL CONTRACTOR MAIL ADDRESS ' ' CITY ZIP PHONE ul.9Lh CITY ZIP PLUM BING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE CLASS OF WORK 9 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT BUILDING RELOCATION L UI] LOT— BLOC IL__ Le'eN SGN S��cyC—RED (/b1 L-,_ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAMETO 13ETRUEAND CORRECT. ALL FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIT',, TO VIOLATE OR CANCEL THE PROVISIONS OK ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFCRMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE CITY BUSINESS LICENSE NO. APPLICANTS PROJECT ADDRESS yO2 Sef; 5-V676rr L. wy MECHANICAL PLUMBING FEE NO. TYPE OF EQUIPMENT_ FEE NO. TYPE OF FIXTURE AIR COND. UNITS-N.P. EA. - WATER CLOSET (TOILET) REFRIGERATION UNITS-H.P. EA. - RATHTUB BOILERS-H.P. EA. LAVATORY (WASH BASIN) GAS FIRED AC. UNITS -TONNAGE EA _ SHOWER FORCED AIR SYSTEMS-B.T.U. 'CA _— KITCHEN SINK 8 DISP. WALL HEATERS-B.T.U. M DISWVASHER M LAUNDRYTRAY EVAPORATIVECB.T.U. — CLOTHES WASHER CLOTHES DRYERS CLOTHES DRYERS --, — WATER HEATER VENTILATION FAN URINAL RANGE HOOD DRINKING FOUNTAIN AIR HANDLING UNIT- C.F.M. FLOOR DRAIN STOVE - VACUUM BREAKERS METAL FIREPLACEB CHIMNEY _ ROOF DRAUIS-RAINLEADERS _ WOODSTOVE/FIREPLACE INSERT -- SINK SERVICE -BAR, ETC.) SU^ TOTAL $ SUB TOTAL PERMIT 8 PERMIT S TOTAL FEE S TOTAL FEE $ THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL Z O n m