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■ ■ LIGATION FOk-:V f1d <br />CIT OF"" CONSTRUTIONOILY OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259.8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING G MECHANICAL ❑ PLUMBING ❑ SIGN <br />DWHER L ADDRESS CITY ZIP Great Amer.Choc.Chin Cookie Co. 4685 Frederick Dr. S PHONE W., Atlanta, Georgia30336 <br />mcuncr, nn nv sir.NFR MAK ADDRESS ONY ZIP PHONE <br />0,NERAL CONTRACTOR MAIL ADDRESS CUY ZIP PHONE LICENSE <br />Gulf Construction P.O. Box 1168 Norman, OK 73070 355-0573 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE c <br />Robinson Plumbing, Inc. 607 SE Everett Mall Way Everett 98208 355-6171 ROBINP*272C2 <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORK (COST OF MATERIALS PLUS LABOR) <br />$4992.00 <br />plumbing <br />USE OF BUILDING <br />retai 1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BETRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING I HIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <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 />LEGAL DESCRIPTION OF PROPERTYISHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT__BLOCK _OF <br />PROJECTADDRESS <br />1402 SE Everett Mall Way, Everett <br />APPLICANTS CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. I <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (EOILET) <br />A/C — A1HNDLG UNITS — H.P <br />BATHTUB <br />REFRIGERATION UNITS —H. P. EA. _ <br />LAVATORY (WASH BASIN) <br />5 <br />00 <br />BOILERS—B.T.0 M.P <br />— <br />SHOWER <br />GAS FIRED A.C. UNITS — R.T.U. <br />KITCHEN SINK 5 DISP. <br />FORCED AIR SYSTEMS —B T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — EIT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS —B T. U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIPI <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BAC KFLOW PREVENTIiRS <br />1 <br />WATER HEATER <br />F�— <br />ROOF DRAINS — RAINI.EADERS <br />WOOD STOJE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />1 <br />qioD sink_ <br />FIREPLACE INSERT <br />1 <br />3 romn sink <br />HEAT PUMP <br />1 <br />floor sink <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />PERMIT' <br />— <br />50 <br />00 <br />SUB TOTAL $ <br />6 <br />15 <br />PERMIT f <br />TOTALFEE <br />S <br />20 <br />00 <br />TOTAI-FEE <br />FEE <br />21 50 <br />RECEIPT NO. <br />FEE <br />/I <br />V( <br />PLAN CHECK NUMBER <br />FEES <br />BUILDING <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />USEZONE <br />LOTAREA <br />VACANT SITL <br />DYES ONO <br />VALUATION <br />S <br />TYPE OF CONST. OCCUPANCY GROUP <br />SIZE OF DLDG NO. OF STORIES <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />NO. OF DWELLING UNITS <br />MAX. OCC. LOAD <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />PUBLIC WORKS <br />TOTAL <br />PROPERTY OWNEH5 ARE HEUFUNSw LE FOR DEI ERMNVRTa ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />