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����- t , � �c����-,� <br />� ,,, �,� <br />everett <br />CITY HALL 259�8745 <br />EVERETL, VJA 90201 <br />��(�STRIlCTIO� <br />PERlVIIi <br />❑ COMBINATIO�: ❑ BUILDING CX�( MECHANICAL <br />PERMIT NO. ,� �''i r,j <br />❑ PLUMBING <br />04'JNEP M1fAIL ADORESS <br />CIiY ZIP �HONE <br />BERNIE KANE ?.017 - 19th Ave Everett WA 98201 329-3107 <br />qPGMIiECT JR DESIGNER <br />�dAIL AODRESS GITY ZIF PHONE <br />GENERAL CONiPnGtOR MAIL AODRE55 <br />GTY ZIP PM�NE LICENSE � <br />MAIL AGDIlE55 C�TV ZI� PHONE LICENSE � <br />�!ECNANICALGONTRNCIOR 11323 Hw 99 Everett WA 9�32Q4 355-7730 VALLENG153LI <br />VALLEY NATURAL GAS Y _ <br />P WlABING CONTRACTOfi <br />MFIL AO�RESS CITY ZIP PHONE LiGENSE x <br />❑ NEW ❑ A�DITION � A�TERATION ❑ REPAIR I] OEMOLITION C FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE WSERT <br />S <br />DESGFIBE V(ORK <br />Gas piping <br />PROPOSED USE OF BOILOING <br />Restaurant <br />LEGNL DESCRIPTIOH OF PHOPERiY (SHOW BE�OW <br />LOT __BLOCK___OF <br />J0°2o9�'S- 19th street <br />PLUMBING <br />TYPE OF FIXTURE Oii ITEM <br />WATER CLOSET ITOILETI <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATF.R HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINN ISERVICE — BAR. ETC ) <br />SUB TOTn� <br />PEflMIT <br />TOTALFEE <br />��EET ��T�1� <br />E <br />APPROVFIS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />a. DRAINAGE <br />7.ENVIRONMENTALIMPAGTSTATEh <br />8. HEALTH DISTRICT <br />naai iCATION ACC. BY PLANS <br />BY <br />� <br />5 <br />S <br />9FAR �ARD S <br />VAGANT SITE <br />YES .NO <br />NO. OF OWEI <br />MAY.. OCQ L( <br />FIRE SPRINKI <br />REOUIREU <br />YES .NO <br />FOR <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED ThiIS <br />APPLICATIO�I AND KNOW 'iHE SAME TO BE TRI:E AND <br />CORRF:CT. A�l. ?ROVISIONS OF LAWS AND ORDINANCES <br />GOVE'�NING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHE�'HER SPECIFIED HEREIN OR NOT. THE GRAPJTING OF A <br />PERAtIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. E <br />SIGt1ATURE OF GOIITRACtOR pR FUTHORIZED A�ENi ^/� �/� <br />. /� 1 <br />TYPE OF EOU�Pmeni <br />AIR CON�. UNII'S — H.P. EA. _ <br />PEFRIGERATION UNI75 — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIREU p,.C. UNITS -- TONNAGE EA. <br />FORCED AIP SYSTEMS — B.T�U. M GA. <br />VJALL HEP.TERS — B.T.U. M _ <br />UNI7 McA"ERS — O.T.U. M <br />EVAPORA fIVE COOLERS <br />GLOTHES DRYERS <br />VENTILAiION FA'N <br />RA�lGE HOOD <br />AIR HANDLIflG UNIT — C.F.h1. <br />STOVE — �'�OD _ <br />METAL I-IREPLACE 8 CHIMNEY <br />FIREPL��CF WSERT <br />HEAT PUMP <br />SUB TO7AL _ <br />PEFMIT <br />TOTAL FEE <br />;NUMBER F <br />FEE <br />FEES VALUATION <br />BUILDIN� <br />PLUMB NG <br />NECM� WICAL <br />OTHER <br />PENALiY <br />70TAL <br />5 <br />� <br />5 <br />3 � <br />CiiECK FEE <br />flECEIPT NO. <br />FEC <br />12 UO <br />�2 �� <br />PERMIT VALIDA1t.^N <br />WHEN PROPERLY VAUDATEO (W THI tS�P?CC) THIS ��Oi R_PE'FlM�IT--�, <br />.J L J J Z 6i ��f <br />_ � <br />� <br />BY , . ' ,. �,.. _, :�i��"�� <br />�� . U <br />��,r�t��:e:�s � i�.e <br />•_�, �.') <br />