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theEvergreen �_ 'ONSTRUCTION-� '��.� <br /> CITY OF � , <br /> everett PERMIT pERMIT N0. 09537 <br /> CITY MALL 259�8745 ' <br /> EVERETT.WA 9820� ❑ COMBINATION ❑ BUILDINO Gc� MECHANICAL ❑ PLUMBINQ <br /> OWNEH MAIL�ODNE55 GTY ZIP R10NE <br /> EVERGREEN PALLACE RESTAURANT 1201 HEWITT EVSAETT 98201 256-6100 _ <br /> RRCHiTECTORDES�GNER M�LL��DFlEW CITY 21P PMONE <br /> GENEML CONiRAGTOP MAIL��DRE55 CIiY ZIP PMONE LILFNSE� <br /> MECHANIULCONTRAGTOR MAiIAp�PE55 GITV ZIP P�E PCENSE� <br /> SAME <br /> PIUMBINGCONTMCt011 MML�U�RE55 CItY ZIP �HONE LICENSE� <br /> CIASS OF WORK <br /> ❑NEW C]�DDITION ❑ALTERAiION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAMGE <br /> V�LUATION Of WORK <br /> 3 � <br /> UESGRIBE WORK <br /> PROPOSED USE OF BUIL�INa <br /> RESTAUAANT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEGLLDESCA�PfiONOFAiOPEFTYISNO'MBELOWORARAGIFOURCOPIES) PLICATION AND KNOW THE SAME TO BE TAUE AND CARRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES OOVERNINfi THIS <br /> io�10-llai�.,�671a EVERETT TYpE OF WORK WILL BE CAMPLIED WITH WHETHER SPECIfIED <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 IOCAL LAW REGULATINO <br /> CONSTR TION OR THE PERFORMANCE OF CANSTRUCTION. <br /> SION�iU 11UCT �U IEED�GENT DATE <br /> JOB ADDRE55 <br /> lzol xswITT X'� � 2 <br /> � PLUMlINO MEC AN C�l <br /> ' N0. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF ECUIPMENT �E <br /> WATER CL0.5E� OIL AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGEMTION UNITS—H.P.EA <br /> UVATORY ASM BASIN BOILEAS—H.P.EA. <br /> SHOWER GAS FIRED A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOflCED AIR SYSTEMS—B.T.U. M EA. <br /> � DISHWASHEN WALL HEATERS—B T.U. M <br /> ' UUNDRY TRAY UNIT NEAtERS—B.T.U. M <br /> �� LIOTMES WASNER EVAPORATIVE COOLEPS <br /> WATER HFATER CIOTHES DRYERS <br /> URINRL VENTIIATION FAN <br /> DRINKINO FOUNTAIN MNGE H00� <br /> FLOOR OMIN AIR HANDLING UNIT— C.F.M. <br /> '. VACUUM BREAKERS STOVE <br /> �. ROOF DMINS—MINLEADERS METAL FIPEPLACE 8 CHIMNEY . <br /> - . - � � . SINK(SERVICE—B�R.ETG) <br /> SUeTOTAL SUlTOTAL <br /> PEIIMR i PEIIMIT <br /> TOTAL FEE i T0TI1L FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARC SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE PECE�PT NO. <br /> USE 20NE L0T AREA VAGNT SITE �� yALU�TION �E <br /> ❑YES ONO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING = <br /> SI2E OF BLDG. NO.OF STORIES MA%.OCC.LOf D <br /> PLUMBING <br /> FIPE ZONE BASEMEIrT FIRE SPRINNLERS MECHANIGIL <br /> REOUIflED <br /> ❑vES ❑NO <br /> AP►ROV�LB !Y DATE OTHER <br /> 1. ENVIRONMENTALCHECKl15T PENAL7V U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PIANS <br /> ror�� 9 5 0 <br /> 3. FIRE HVDMNT <br /> <. FIRE PROTECTION SYSTEM PERMR YALIDl1TI011 <br /> WHEN PROPFRLV VALIDATED(IN THIS SPAfE)THIS IS YOUR PEHMIT �/� <br /> 5. aM�ING � i . � :' � � 9. ) � �— �Y <br /> 6. DMIN�GE M <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> B. HEALTH DISTRICT � " � " ' I'� O <br /> � APPLICATION ACC.BY PWIS CHECKE�BY APPR.FOR ISSUANCE BY ' ' ';! ' _ U <br /> � ew kc kc <br /> ,._ U � <br /> ADDRESS FILE <br />