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r � <br /> `tieE°e�g��� `'ONSTRUCTION <br /> CITV OF <br /> everett PERMIT pERMITN0. 112OS <br /> CITV HALL 259�87a5 <br /> EVERETT,WA 98207 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br /> � OWNCR MAIIADDRE55 pTY ZIP GMONE <br /> A. S. Wolfsheimer P.O. Box 2286 Seattle 98111 <br /> ARCHIT[CT OR OCSIGNLP MAIL NDORE55 CITY 21P MONE <br /> GEN[RPL CANTRAGTOR MAIL ADDRE55 � CITY 21P A10NE LICFNSE� <br /> Damage Repair Services Box 2045 Everett 98203 337-4222 <br /> MEGNNNICALCANTRAGiOR MAILADDNE55 CITV ZIP PNONE L�CCNSE� <br /> /� � <br /> 1 PlUA181NG CANTRNCTOR Mn�l ApDFE55 GIiY 21P PHON[ UCENSE� <br /> ClASSOF WORK <br /> ❑NEW ❑P7DITION ❑ALTERATION �YiEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUlT10NOf WORN <br /> f 2500.00 <br /> DESCRIBE WORK <br /> repair vehicle dama e <br /> PROPOSED USE OF BWLOING <br /> restaurant I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�oeseaiarionorrnoveetr�snoweeiowoantuer+Fouacoricsi PLICATION AND KNOW THE SAME TO BF TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or 24 sioc�_oF Tnnnel Addition TYPE OF WORK WILL BE COMPLIED 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 LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 9GNAiURE OF fpNiRRCIOR OR RUTMOB12E AG T ORTE <br /> JOB ADDR[55 � � <br /> zv/6 x ' ii/a�ez <br /> PLUMOINO MECHANICAL - . <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT \ FEE <br /> WATER CLOSE7(TOILET) AIR COND.UNITS—H P EA. <br /> BATHTUO PEFRIGERATION UNITS—HP.EA <br /> LAVATOHY(WASN BASIN) BOILERS—HP.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—P T.U. M EA <br /> DISHWASMER WALL NEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B T U. M <br /> CLOTHES WASHER EVAPORAT!VECOO�ERS <br /> WATER MEATER CLOTHES Dr7YER5 <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS MET�.L FIREPLACE 8 CkIIMNEY . <br /> SINK(SERVICE—BAR,ETC) <br /> SU�TOTA4 SUlTOTAL t <br /> PEIIMIT f PERMIt f <br /> � T TAL FEE TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CNECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NU. <br /> USE ZONE LOT AREA VACANT SITE <br /> OYES LNO FEES VAWATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OP DWELLING UNITS <br /> BUILDING S z500.00 38 SO <br /> 512E OF BLDG. NO.OP STOalES MAX.OCG.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKlERS MECHANICAL <br /> REOUIREO <br /> oYES ❑NO �" <br /> L �PMOyALf �Y D�TE OTHER <br /> 1. ENVIRONMENTALCNEp(LIST pENALTY UBC. <br /> SEC.30:,�a) <br /> 2. BUILDING PIANS <br /> iOTAL 38 SO <br /> 3. FIRE MYDMNT <br /> �. FIRE PROTECTION SYSTEM �M�T����� <br /> WHEN PROPERLY'!AIIDATED(IN TMIS�P���S IS�Q���o _—� <br /> - � , 5. GMDING � <br /> 6. OMN111(iE � <br /> 7. E4VIRONMENTALIMPAGT STATEMENT N <br /> e. N��n�oisraicr — 1lOUR REC�1�'� <br /> APPLICATION ACC.BV PLANS CMECKED BV APPR.FOR ISSUANCE BY ,��{+/,,��ef J�� YA U <br /> . t � " ► 'tx y l �� � <br /> . r . ;i� , . . <br /> :r,� 5 �ar 82 - <br /> ADDRESS FILE ' : _ _ - <br /> � � <br />