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the FceTgrIeel, <br />'-INSTRUCTION A" <br />everett PERMIT PERMIT NO. <br />259-8810 <br />Ff] ❑PLUMBING ❑SIGN <br />MECHANICAL <br />0 DEMOLITION ❑ COMBINATION ❑ BUILDING <br />PHONE <br />MAIL ADDRESS <br />OWNER 776 <br />(Ken Walter) <br />CITY zlp <br />1567 <br />Lakeshore Investments <br />zIp PHONE <br />MAIL ADDRESS <br />TENANT <br />Soundview Deli 3711 Mukilteo Blvd Everett <br />CITY <br />353 8533 <br />(._'[1 =Cc <br />AUIL ADDRESS <br />CITY ZIP PHONE I <br />i) ARCHITECT OR DESIGNER <br />1� <br />n <br />QDY ZIP PHONE LICENSE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY 21P PHONE LICENSE• <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />6605 200th SW Lynnwood 98036 <br />LODESRC174KO <br />670 1968 <br />Lodestar Co <br />zP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CITY <br />xC"O <br />D7 C7 <br />CLASS OF WORK <br />ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION <br />Zarb <br />H <br />0 NEW 0 ADDITION <br />PERSON AND PHONE NO- IF OTHER THAN ABOVE <br />9 H U <br />CONTACT <br />ROd Christiansen 670 1968 <br />rx <br />H 9 3 <br />CONTRACT PRICE OF WORK: $ 2400 <br />H Z H <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />horizontal furnace <br />oo <br />Replace unit heater with <br />�] H 'U <br />En H <br />H tl <br />x O� <br />PROPOSED USE OF BUILDING <br />[j HM <br />Deli -:fart <br />H H0 <br />C7 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIE51 <br />GO • ci <br />LOT — BLOCK — OF <br />a y <br />rHy <br />H <br />q <br />JOB ADDRESS <br />3711 Mukilteo Blvd <br />t�7 <br />MECHANICAL <br />zqcn <br />PLUMBING <br />NO. TYPO OF EOUIPMENT FEE <br />H O En <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />AC — A/HNDLG UNITS — H P. <br />WATER CLOSET 'TOILET) <br />1 FORCED AIR SYSTEMS — 8 T.U. 1.1 EA <br />BATHTUB <br />UNIT HEATERS — B T.U. Al <br />LAVATORY IWASH BASIN) <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN 11�D5�9U 1'48P OODg04457 <br />KITCHEN SINK B DISP. <br />gANGE HOOD <br />DISHWASHER <br />WATER HEATER g00025933 <br />! ! <br />LAUNDRY TRAY <br />WOODSTOVE HECH 565. <br />CLOTHES WASHER <br />METAL FIREPLACE S CHIMri�i0D25942 <br />URINAL <br />FIREPLACE INSERT MECH $145. <br />_ <br />DRINKING FOUNTAIN <br />HEAT PUMP CH CK $ <br />FLOOR GRAIN <br />GAS PIPING <br />BACKFLOW PREVENTERS <br />EXHAUST FAN <br />ROOF DRAINS — RAINLEADERS - <br />SINK (SERVICE — BAR. ETCJ <br />w <br />SUBTOTAL S 50 0 <br />SUBTOTAL S <br />PERMIT $ 15 0 <br />' <br />wa <br />PERMIT $ <br />TOTAL FEE f GS O <br />TOTAL FEE $ <br />PLAN CHECK NUMBER FEE RECEIPT NO. <br />FRONT SETBACK REAR SETBACK SIDE SET RncK <br />I�1 1 <br />USE ZONE LOT AREA VACANT SITE <br />FEES BUILDING CODE FEE <br />❑ YES ❑ NO <br />$ <br />IYR. OF CONSIRUCTDN ALLOWABLE npE OF CONSIRL"M ACTUAL NB OF ONTIIING UNIiS BUILDING <br />PLUMBING — <br />SIZE OF BLDG NO OF STORIES BASEMENT <br />MECHANICAL 6S DD <br />❑ YES ❑ NO <br />OCCUPANCYLOAD FIRE SPRINKLERS RED HEIGHT LIMITATION <br />OTHER <br />D YES ❑ No <br />STATE BUILDING SURCHARGE <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC. BY PLANS APPROVED BY CITY OF EVERETT PU13LICWORKS <br />LOCAL SALES <br />65 00 <br />TAX CODE IS <br />TOTAL <br />3105 <br />wHFN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 259 3 3 <br />160 DAYS OR CEASES FOR MORE THAN 180 DAYS. ����� <br />