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�hcEvergreen -��. ,:r�ySTRUCTION��� ����� <br />GTY OF - . � � ' � <br />everett PER�IIT PERMIT N0. 0�916 <br />CITY HALL 259�87A5 <br />EVERETf, WA sazoi ❑ COMBINATION ❑ BUILDING C7�MECHANICAL ❑ PLUMBING <br />OWNEP MAILA�OflE55 CITY 21P PMONE <br />Perry's Restaurant 607 South Broadway 355-6171 <br />AFGHIiECTOPDE5IGNER MAILA��RE55 CITY ZIP PHONE <br />GENEMLCANTRACTOR MAILAOORE55 GTY ZIP PMONE IICENSF.I <br />MECHANICALCANTRACTOR MhIIADDRESS GTV ZIP PHONE LICENSEI <br />Robinson Plumbing 607 South Broadway <br />PUIMOINGCONTPACfOfl MAILAODRE55 Cltt 21P PHONE LICLNSEI <br />❑NEW <br />VALUATION OP WORK <br />S <br />OESCRIBE N'ORK <br />PROPOSED USE OF OUILOING <br />LEGAL OESCRiPTION OF PPOPEFiT <br />�or aiacrL_or <br />607 South <br />PLUMBING <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />8 DISP. <br />HEATER <br />VG FOUNTAIN <br />0 <br />� <br />SIDE YARD SETBACK STREET <br />�ISE ZONE LOT AR <br />TYFE OF CONST. OCCUP <br />SIZE OF BLDG. NO. OF <br />FIRE ZONE BASEM <br />FOUR <br />Space 13 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHEH SP[CIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUPE OF CONTRACTOR OR AUTH/OJPjI ED AGENT DATE <br />v / � i � _ ... —/_ _ � . d i' %�1��8� <br />MECHANICAL <br />OR ITEM FEE NO TYPE OF EOUIPMENT FEE <br />�� �— AIR CAND. ;!t:iTS= H.P. EA. <br />—'-1— I 1 I oGcoiccaATIf1N I INITS — H_p, Eq I <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLAIJS <br />3. FIRE HYDRANT <br />4. FIRc PRUTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPAC7 STATEMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />REAR YARD <br />❑YES ❑I <br />NO. OF DN <br />MAX. OCC. <br />BY <br />APPR. FOfl ISSUAi.::E BY <br />tlVILtHJ — It.r. [M. <br />GAS FIPED A.C. UNITS — TON�:AGE EA. <br />FOP.CED AIR SYSTEMS — B.T.U. I <br />�VALL HEATERS — B.T.U. I <br />i u.ur uoercac _ R T 1 I I <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FIREPLACE 8 CF <br />TOTAL FEE sl � <br />NUMBER PLAN CHECK FEE <br />FEE RECEiPT N0. <br />cocc vGL11GTiON FEE <br />$ <br />28 <br />PCNALIY U.B.C. <br />SEC. 303 (a) <br />TOTAL 28 00 <br />PEflM1T VALIUATION <br />VJHEN PROPERLY VALIDATED (IN THIS SPACE) iHIS IS YOUR PERMIT <br />4511 $�Z$.00 = � <br />Q� <br />� <br />Y�UR RECEIPT� <br />iN.fi,t�i: YO:1 <br />ADDRESS FILE <br />1 O �� 8 O <br />