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/ia <br />A?PLICATION 1=Ok--�� <br />e <br />MY F,,..R <br />CITY OF CONSTRUCTION <br />0 <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />259.8810 <br />❑ DEMOLITION ❑ COMBINATION <br />❑ BUILDING ❑ MECHANICAL 0 PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS <br />CITY ZIP PHONE <br />Granny's Gourmet Muffins, Inc. <br />2183B East Bakerview Rd Bellingham, 98226 <br />AROHITECTOR D ESIGNER MAIL ADDRESS <br />CITY ZIP PHONE <br />E Food service George De Tillot, <br />Everett Wa. 338 - 1204 <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY ZIP PHONE LICENSE. <br />owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />CITY ZIP PHONE LICENSE. <br />Shoreline Mechanical 11735 <br />15th Ave. N.E. Seattle WA. 364 - 3600 <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CNY ZIP PHONE LICENSE• <br />Shoreline PLumbin0 11735 15th <br />Ave. N.E. Seattle WA 364 - 3600 <br />cuss OF WORK <br />❑ NEW [a ADDITION ❑ ALTERATION ❑ <br />REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEPT ❑ BUILDING RELOCATION <br />VALUATION OF WORK ICOS I OF MAT E RMLB PLUS LABORn)"f,A_ <br />ifxflIlgx 15,000 00 c'7 <br />DESCRIBE WORK <br />tennant build out <br />USE OF BU.LOING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />muffin shop <br />PLICATIONAND KNOWTHE SAMETO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />LEGAL DESCRIPTION OF PROPE±TY(SHOWN BELOW OR ATTACH FOUR <br />COPIES) <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />Lot— BLOCK OF-- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />PROJECT ADDRESS <br />APPLICANTS CITY BUSINESS LICENSE NO <br />space 4 9 Everest Mall <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO.S030ILERS— <br />TYPE OF EQUIPMENTMFEE <br />WATER CLOSET (TOILET) <br />LG UNITS - H.P. <br />GATHTL B <br />ION UNITS — H.P. EA. <br />LAVATC AY I WASH BASIN) <br />.T.U./H. P.SHOWED <br />.C. UNITS — B.T.U.KITCHEN <br />SINK A DISP. <br />SYSTEMS — B.T.U. M EA.DISHWASHER <br />RS—B T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />_ <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGEHOOD <br />BACKFLOW PREVENTEAS <br />WATER HEATER <br />ROOF DRAINS — RAINLEAOERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPLACE A CHIMNEY <br />—' <br />FIREPLACE INSERT <br />HEAT PUMP <br />_ <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL <br />PERMIT S <br />PERMIT <br />_ <br />TOTALFEE S <br />TOTALFEE <br />FRONISETBACK <br />—SETBACK <br />FEE <br />lay�GUSEZONE <br />RECEIPT NO. <br />REAR SETBACK <br />SID <br />LOTAREA. <br />VACANT SITE <br />FEES <br />VALUATIONFEEOYES <br />O <br />PPL�ANC�,HECNUMBER <br />S <br />TYPF OF CONST. <br />OCCUPANCY GROUP <br />NO. <br />OF DWELLING UNITS <br />Z <br />-�� <br />SIZE OF BLDG <br />27 trs <br />7 <br />NO. OF STORIE,S <br />MAX. OCC. LOAD <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKLERS REQUIRED YES ❑ NO <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />PUBLIC WORKS <br />_ <br />A� <br />TOTAL <br />E FOR DET[RMINIMr GI 1 <br />PRDHtHI Y uwn�no nno ..eorv..,•.,�� • •+� • �•-•-^�•�••^ <br />PROPERTY LINE LOCATIONSAND RELATED EASEMENTS. <br />