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"LeEM <br />F <br />CITTYYOF <br />t"7NSTRUCTION <br />everett <br />259-8810 <br />PERMIT PERMIT NO. _ 26114 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />l SIGN <br />OWNER <br />Mr. Lee 17520 Corliss <br />MAIL ADDRESS CITY ZIP PHONE <br />Ave N Seattle 98133 441-5955 <br />TENANT <br />Jimmy's Pizza & Pasta <br />MAIL ADDRESS CITY ZIP PHONE <br />9819 State Hwy 532 Stanwood wF. 98292 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CIT'.' ZIP PHONE <br />GENERAL CONTRACTOR <br />Tube Art Displays 808 <br />MAIL ADDRESS CITY ZIP PHONE <br />Aloha St Seattle 98109 784-0420 TUBEADI110NH <br />LICENSE. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE <br />LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ 1,200 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Sign 50sf <br />PROPOSED USE OF BUILDING <br />Restuarant <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK _ OF <br />JOB ADDRESS <br />11110 7th Ave. SE <br />PLUMBING <br />MECHANICAL <br />_ NO. <br />TYPE OF FIXTURE. OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS— B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS —B.1'.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMN V <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />4t <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING ' <br />ROOF DRAINS -- RAINLEADERS <br />EXHAUSTFAN <br />—T, WO <br />SINK (SERVICE — BAR, ETC.) <br />" <br />FLEE $38. <br />uliu , <br />SUBTOTAL <br />f <br />SUBTOTAL <br />f <br />PERMIT <br />f <br />I <br />PERMIT <br />f <br />TOTALFEE <br />f <br />TOTALFEE <br />f <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE Of CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />�cu"� <br />NO OF DWELL ING UNITS <br />PLUMBING <br />_1, <br />SIZE OF BLDG <br />NO OF STORIES <br />BAETMENT <br />❑ YES ❑ NO <br />"2UHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'0 <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />nrrucATwNAccev <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />wucu ennocol V vAI <br />InAten rLUO I¢ <br />VnI In 000ulr <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />ADDRESS FILE <br />2611 <br />