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dieEvergreen r-- C��STRUCiI'�N �� ^ <br />CIiY OF <br />everett PERMIT PeRMIT NO.O�76E <br />CITY HALL 259�8745 <br />EVERETi, WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MAI�AOORESS CITY ZIP PMONE <br />PERRY LYNCH <br />APCh'EGTONDESIGNER MAILADDRE55 CITY 21P PHONE <br />S Cltt 21P PHONE UCENSE I <br />J. & F. Inc. 3000 �aestern Seattle WA 98121 MU.s-2401 <br />MECNANICOLCANTRACTOR MAILADDRESS CITY ZIP ?HONE LICENSEI <br />PWMBINGLONTRAGTOR MAILADDRESS pTY ZIP PHONE LICENSEI <br />CLFSS OF WOFK <br />K�NEW <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />PPOPOSED USE OF BUIIDING <br />Restaurant <br />LEGAL OESCPIPTION OF PROPERT <br />�or e�aK_oF <br />PLUMBING <br />WATER <br />SIDE YARD <br />USE ZONE <br />TYPE OF G <br />TYPE <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SI(iN ❑GARAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />ORATfACHFOURCAPIES� PLICATION AND KNOW TH[ SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIlJ OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />cir.uetuac nc cnM[�d(:TOR OR Al1THOR12ED AGENT OATE <br />i DRAIN <br />1M BFEAKERS <br />DRAINS — RAINLEADERS <br />3ERVICE — BAR.ETC.) <br />SUB70TAL <br />PERMIT <br />TOTALFEE <br />fOACK STflEETSETBACK <br />LOT AREA <br />;7. OCCUPANCY GR( <br />BLDG. <br />STORIES <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PFOTECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTS7ATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. 8Y PLANS CHECKED BY <br />x.c. <br />;:�y,_ .. <br />SETBACK <br />VACANT SITE <br />OYES ❑NO <br />APPR.FORISSUANCE BY <br />x.c. <br />X i�\,�i� = <br />— �.�.� <br />MECHANICAL <br />N0. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEFATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATEPS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION fAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C. <br />STOVE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALN <br />TOTAL <br />ABER P�N <br />fEE <br />FEES VALUATIOP <br />$ <br />U.B.C. <br />SEC.303�a) <br />RECEIPT NO. <br />FEE <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3120 $007.00 --�4 <br />� <br />� <br />YOUR RECEIP`t� <br />THAtvK YO U <br />ADDRESS FILE <br />20�v80 <br />