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the Evergreen CONSTRUCTION..�aeret� <br />�. <br />CITY Or PERMIT <br />everett `� - <br />VE IiT.WAALL 9B745 <br />201 . BUILDING • MECHANICAL • PLUMBIN(h <br />EVERETT,wA 9Bzo1 COMBINATION <br />OWNER MAIL ADDRESS ZIP PAON <br />m <br />RICHARD A JOHNSON 9502 19 AVE SE SUITE C EJEP.LTT 98204 337-4830 <br />A <br />A RCHITE:T OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />HANSENE HANSEN & JOIDISON 1016 MAIN ST SUMNER 206-863-8126 <br />d ENERAL CONTRACTOR MAIL ADDRES: PHONE LICENSE NO. <br />Z <br />C <br />JBMFS K WAHL OONST 9502 19AVE SE SUITE C 337-4405 m HL C 249 CP <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PLUMBING CONTRACTOR MAIL ADD RES PHONE LICENSE NO. <br />L> <br />W <br />PERMIT CLA55 <br />OF WORK <br />fIj COMBIN ATION <br />[]BUILDING []PLUMBING []MECHANICAL <br />NEW ❑ADDITION ❑ALTENATION []REPAIR <br />iL <br />VALUATION OF WORK <br />❑DEMOLISIi ❑FENCE ❑SIGN []SWIMMING POOL <br />S 108,000 <br />- <br />DESCRIBE WORK <br />CONST NEW RESTAURANT SHAKEYS PIZZA PARLOR <br />PROPOSED USE <br />MECHANICAL <br />OF ENERGY <br />❑GAS ❑ELEC. <br />TYPE <br />LEGAL DESCRIPTIONOF PROPE RTV (SHOW BELOW OR ATTACH <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />FOUR COPIES) <br />LOT BLOCK _OF—CS-135--Fr-GF~ SYLV---1 � <br />AIR COND. UNITS-H.P. EA. <br />S <br />REFRIGERATION UNITS-H.P. EA. <br />r1F]NSP 26 i4 RANGE 5 E W.M.1 <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />SNOHCtUSH COUNTY SEE ATTACHED <br />_ <br />JOB ADDRESS <br />SPACE & WALL HEATERS B.T.U. <br />UNIT HEATERS-B.T.U. <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />-2 <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />_ I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS__ <br />FLOOR DRAINS <br />I <br />-- <br />SUBTOTAL S <br />I <br />KITCHEN SINKS & DISP. <br />1 <br />PERMIT 5 <br />BAR SINKS <br />I <br />TOTAL FEE <br />-19.100 <br />5 CONST <br />THIS PERMIT OECD MI:S NULL AND VOID WORK OR CONST RUG <br />ROOF DRA!'tS - RAIN LEADERS <br />1 <br />SHOWER BATH° <br />W <br />CONRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />FOR . <br />CONSTRUCTION A WORK IS SUSPENDED OR ARMS COMMENCED. <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I I4EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME: TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE CONIPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />SERVICE SINKS <br />SUMPS -SEWAGE PUMP <br />1— <br />URINALS <br />— <br />WATER CLOSETS <br />10+t00 <br />WATER HEATERS - ELECTRIC <br />_ I <br />WASH BASINS <br />'1 <br />LAUNDRY TRAYS <br />•iOO— <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />//�/ / <br />X c�OFjt'N/YC/ ` �l'� 9-6-78 <br />IG ATVRE OF CONTRACTOfl OR A UTH. AGENT DATE <br />I ,� <br />1 <br />SUB TOTAL <br />R <br />PERMIT <br />S u} <br />TOTAL FEE <br />BLDG. SUPPLY SIZE <br />WATER SERVICE SIZE <br />SIDEYARDSETBACK STREETSETBACK REARYAROSETRO <br />AN CHECK NUMBER PLAN CHECK FEE <br />RECEIPT NO. <br />FEE <br />1 RA 1 DI <br />__28/ 17—I <br />USE ZONE B-2 <br />LOT AREA <br />VACANT SITE <br />:]YES ONO <br />FEES VALUATION FEE <br />7�� ONST. <br />OCCUPANCY GROUP <br />NO UN175 DWELLING <br />I <br />BUILDING <br />S -QO.O_ <br />I <br />—299-'InO <br />V-1 HR <br />SIZE OF BLDG. <br />B-3 <br />NO. OF STORIES <br />NONE <br />MAX. OCC. LOAD <br />PLUMBING <br />7- lIl <br />3235 FT <br />ONE <br />250 <br />F ItiE 20NE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />I <br />19.100 <br />❑ves [210 <br />MECHANICAL <br />OTHER <br />I <br />I <br />_ <br />SPECIAL CONDIITIONS: <br />y11, <br />PENALTY <br />SEC.303(a) <br />I <br />WT ALUATION AEO RIGINAi, E�lII1PT $0 <br />OR $20 >DUE�9N PLAN CHECK FEE <br />TOTAL <br />I IY nTIIIIJ <br />WHEN PROPS RLY VALIDAT ED (1tT}!PpCEkj wjjj�P� <br />.By11TI 1 <br />A.— <br />?HARKY <br />. IAVSI:IIECrttUUY: APPNOV[II EOB ISSUANCE ItY ". <br />. 11R4 <br />A!]DRLSS f 1L! _ <br />�;7!978 <br />