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the Evergreen <br />CITY of <br />C INSTRUCTION <br />everett PERMIT PERMIT NO. 21492 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING R31 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Hong Kong Kitchen 1100 Everett Mall Way Everett, WA 98204 <br />ARCHITECT OR <br />MAIL ADDRESS <br />CITY ZIP <br />GENERAL CONTRACTOR MAIL ADURESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE It <br />Erickson Mfg. Ent., Inc. <br />5522 - 208th SW <br />Lynnwood, WA 98036 <br />775-3597 <br />ERICK213L7 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />DESCRIBE WORK <br />Install range hood <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />food service <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. AL:'_ 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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATL OF CONTRA5FOR AUTHORIZED AGENT. OR OWNER / ATE/ <br />x � <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />1402 SE Everett Nally Way <br />PLUMBING <br />M ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H.P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS - B.T.UI l R <br />SHOWER <br />GAS FIRED A.C. UNITS - B.T.0 <br />KITCHEN SINK B OISP. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />DISHWASHER <br />_ <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - E.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />ORNKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR CHAIN <br />l <br />RANGE HOOD <br />GACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS—RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />_ <br />1 <br />EXHAUSTFAN <br />SUB TOTAL <br />s <br />sue - <br />13 <br />00 <br />PERMIT <br />$ <br />PER <br />15 <br />00 <br />TOTALFEE <br />S <br />- <br />TOT "� <br />28 <br />00 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />T <br />IJU <br />_ 1PT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑Yrs ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />PLUMBING <br />SIZE OF BLOC. <br />NO Of STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />2E <br />00 <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STAT! BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />M. M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />_ <br />TOTAL <br />28 <br />00 <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />C\3 <br />Cn <br />cf- <br />C\3 <br />ADDRESS FILE <br />