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IheFocrgreen � C�NSTRUCT`ION � �� � � � <br /> Ci7Y OF <br /> �������� �E R M IT PERNfIT NO. _ � �� �� �' � �� <br /> 259 -8810 ' <br /> ❑ DEMOLITION ❑ COMBINATION C�BUILDING ❑ MECFiANICAL ❑ PLUMBING ❑ SIGN <br /> OP;N[q MAILPODRESS CITY 21P PHONE , <br /> McDonalds 10220 NE Points Dr. Kirkland 98033 827-9700 � <br /> TFNnNT IAFI�AOOPESS QTY ZIP PHONE <br /> Same <br /> AfiLHITECTORDES�GNER MAiLApDRE55 CITY ZIP PHONE I <br /> Freiheit s Co. Arch. 10940 NE 33rd P1. #202 Bellewe 827-2100 I <br /> G[hEFALCONTRACTOR M1IAILADDFE55 CITY 21� PHONE LICENSEn <br /> Hanbv Construc�cion 100 �nd Ave. S. 3x�x Suite 120 Edmonds 98020 HANBYCC149B4 <br /> MECHANICALCONTP�CTOR MAILADDPESS CITY ZIP PHONE LICENSE> <br /> 672-8233 <br /> PLU6:�INGCONTRACTOR lAAllAODPEbd CITY ZIP PNONE LICENSEM I <br /> C1A55 OF WORK 'I <br /> ❑ NFW ❑ AODITION L�S ALTERATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION '� <br /> CONTACT PERSON AN�PHONE NO IF OTHER TNAN ABOVE <br /> CONTRACT PFICE OF WOF'<:$ 8000.00 <br /> O[SCPI�E WORK AND SOUARE FOOTAGE INVOLYED <br /> Alter existing mansard roof <br /> PROPOSEO USE OF�UILDING <br /> Existing reste.urant <br /> I.[G:.L�ESCRIPiIDN OF PROPERiY�SHOW BELOW OR ATTACH FOU(i COPIBS) � <br /> LOi_— pLOCH_OF <br /> J00 AODPESS <br /> 162:. 41st St. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE � <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> DATHTIIB FORCED AIR SYSTEMS—8 T U. M EA. . <br /> LAVATORV�WASHBP.SIN) UNITHEATERS—B.T.U. M � <br /> SHOWER CLOTHESDRYERS � <br /> KITCHEN SI�JK fl DISP. VENTILATION FAN . <br /> �ISHWASHER PANGE HOOD i <br /> LAUNORYTRAV WATERHEATER <br /> CLOTHES WASHER WOO�STOVE � <br /> URINAL METAL FIREPLACE 8 CHIMNEY � <br /> DPINKING FOUNTAIN FIREPLACEINSERT <br /> PLOOfl DFAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAI NLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL S SUBTOTAL f <br /> PERMIT S PEFMIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FRONiSET�ACK REpRSET[3I.CK SIOESETOACK PLANCHECKNUMBEfl FEE � RECEIPTNO. � <br /> 89/22078 64.35 20859 � <br /> USELONE LOTAqEA VAC�NTSITE FEES BIIIL�INGCO�E FEE <br /> $—Z ❑YES IXNO �A� � <br /> rvreovconsrnucnoxnumvneiE ttveorc��r+stnucncunetua� a�;;;�„;��� nooFowewrvsumrs BUIL�ING S 8000.00 99 00 ; <br /> V—N � V—N B—z � PLUMBING N� <br /> 512E OFOLDG NO.OF STORIES BASEfAENT � <br /> ROYOOf 1 ❑ YES IXNO MECHANICAL S/�b�e� 4:?� F'H OOOAN60.?0 :��K.�:: <br /> OCCUPANCYlOAO F�RESPRINKLERSPW'D HEIGHLIIMITPTION OTHER tlOOO�GOIE �� <br /> N/A ❑ YES %7 No 35 — f <br /> r�e�sor�FoasvnwK�e�s STATEBUILDINGSURCHARGE ��LCG $S .00 j i0 <br /> J1. 1 <br /> STA7EENERGYSURCHARGE CHECY :ZO'.SO �, <br /> nFvncn-ioNncc ov pLANSAPPROVEDBV CITY OF EVERETT — <br /> LOCAL SALES Puauc woaKs ( <br /> TAX CODE IS TOTAL lo:t r '' <br /> hf.td. J.W. 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERf.�. � <br /> P <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ) ' ( <br /> ADDRESS FILE �, � I_I j i; <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />