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APPLICATIC&I FOR CONSTRUC*ON PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />M%�CED9 S REfgT �y ETT1 WA 98201 A (425) 257-8810 <br />D N f�V.1� X HOOD &DUCT <br />❑ DEMOLITION ❑ COMBINATION ❑BUILDING ®MECHANICAL ❑PLUMBING SIGN <br />PROJECT ADDRES Oth St. SE SE 19th Ave. SE, EvereLt, WA <br />Wendy's International, 555 S. Renton Village P1., #200, Renton, WA 98055, 425-235-8570 <br />WNE OR MMLALORF.SS am Or rIU1( <br />TENANT MAN AO0`E55 <br />Gry <br />)M <br />Ruhl-Parr R Associates, 3625 132nd Ave. <br />SE. <br />8100. Bellevue, WA <br />98006,'425-644-4000 <br />ArICMrTCr OR OFLGNFn NNI AOMIESS <br />CITY <br />7A, <br />M1(1Nf <br />To be determined at permit pick up. <br />GENERAL CONIRACIOI M4l AtXX*55 <br />CITY <br />_ <br />)Ir <br />1111E "ARE LICEMSEA <br />To bV,determined at permit pick up. <br />W..CHAMCAL CONTRACTOR MAX ARORE55 <br />f1TY <br />)m <br />11RN( SIATF LICENSE• <br />To be determined at permit pick 1Ip, <br />11 UMWIG C0NI111.1OR MAIL AfK%1F 55 <br />CITY <br />bP <br />P,"( STATE LICENSE• <br />J $275,000.00 <br />CGNiRAC10MCE Or WOIII <br />Mechanical and hood and duct installation <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />OESCNBE WORK A4050VARE r0p1A0E WZ 0 <br />into a 3 177 SF)Ipuildtn <br />CONIA•`T'msm AM"Aw NO <br />425-644-4000 <br />Fast food restaurant with pick-up Window. <br />I HEREBY CER7IFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTI RACTORS LAW 16.27 RCW AND 296.200 WAC. <br />X <br />vlgrosfO usE or emldNo <br />Snn RTTnrhnri <br />LFOA[ Uf50n1ndOH Or Pn nrv(SHOWN BELOW ORAnACH TWO COnE51 <br />lol TAMA w_ <br />I$L•805" 10'LO-Opp) <br />nAMEL IAK 10 IKWIK" <br />CdrSTRICTIONlOAN1ENOfn. AOTAIESS. lElE1'NONE MUMPFP <br />sKNAIImE OAR[ <br />GTY BUSNE55IICFNSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WA R CLOSET (TOILET) <br />I <br />A/C -A1HNDLG UNITS <br />BATHTUB <br />0 <br />_ <br />FORCED AIR SYSTEMS <br />Z <br />LAVATQAY ASH BASIN) <br />Z <br />HEAT PUMP <br />O <br />SH E <br />0 <br />UNIT HEATERS <br />ITC N SINK A DISP <br />CLOTHES OnYERS <br />O <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />O <br />/CLOTHES AS R <br />0 <br />WOOD CTOVE <br />1 <br />URI <br />METAL FIREPLACE(WOOD BURNING) <br />O' <br />INKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING)) <br />1 <br />FLOOR AIN ) <br />GAS FIREPLACE <br />O <br />DACKFLOW PREVENTERS1T <br />GASRANGE <br />1 <br />SINK')SERVJCE - BAR, TC.) <br />GAS PIPING <br />�— <br />% <br />3 <br />EXHAUSTFAN <br />I <br />SUB TOTAL f <br />SUB TOTAL S <br />PERMIT f <br />PERMIT $ <br />_ <br />TOTAL FEE f <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />InONTSTTPACK <br />RFAR 51 TBACK <br />SIDE mIBACK <br />rIANCNECK NUIM(R <br />fIF <br />RFCPr1 NO <br />USE foNF <br />IOIAnfA <br />WCANI SITE <br />FEES <br />VALUATION <br />FEE <br />RIMIMKK <br />CITIES ❑NG <br />MAII- 11M RATION <br />NO O pWf IIIMG <br />SIlE O NlKl71 <br />'— <br />IIxl15 <br />rIIIYPWn <br />— <br />LK(:I7A41:1MMSIRRII) <br />nROur <br />1f.1111NI lUAU <br />BA,V MEN) <br />MTf.11NRK,AI <br />GYfS ❑xO'----- <br />(IPE 51'111NRLEn REOO <br />IIFASUN <br />ADINO NAI T1AN 0KC. <br />OnKn <br />_ <br />1111E AI 11M RfO'D <br />MA101 <br />�- <br />STATEftlk .SIPCI.W4 <br />nrr nn:olla <br />M ANSMr'IIOVfOBY <br />CITY OF EVERETT <br />ronur. WTII,Ks <br />TC <br />LOCAL SALES <br />- <br />TOTAL <br />- — <br />-- <br />nnl - `�-� $- <br />TAX CODE IS 3105 <br />