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HomeMy WebLinkAboutMIS94-00556 Restaurant Signage - MIS Permit / Conditions - 4/27/1994 _ rrm s i to 'C M -� .� .� 2 .Z7 'O O H JO I o O -I r m -C O O N O v O N H G ,e -no 3 'a V Ga u r 0 H � a m7c m m m mrn rO H a A fA m 0 0 1 YJ rn c) za o • n o •� amz Mtn Z r 7o G r- a -I m N 1�11 0 o m m •• •• cn • m a -1 0 N cn cn .i rA 3 m 0 Nz z •• y r r A w V 0 cn -i i ; m A a a •• H C H r e ; cr 0 cn z o x C © m c0') a s e e -I z a -i z z m 3 7S A A CD �• z H • i s N r -I O '^ r r A .. 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Box 18%Shelton,WA 98584.427-9670 I PEASE PRINT r _ #1 Owner McDonalds Corporation Phone# (206) 827-9700 SITAA(frfrARs N.E. 24200 State;Rt 3 ' Cit}i, Belfair _ g} WA zip 98528 ±"` i Directions to Job Site bwhor Mailing Addr000 10220 N.Ej Points Dr. #300 1 ' City Kirkland St� WA Zip 98033 LierVTitle Holder Address Cit"i ' — { lip #2 Contractor Name Horizon Heating, Inc. Contractor Reg.# HORI7HI137 iJ Address 3601 12 st St' S.W. Expiration date 03/31/95 City Lynnwood St WA Zip 98037 Phone 745-3930 #3 Parcel No. MIS94=0556 123282100000 Legal Description #4 Use.of building Restaurant _ Describe work Installation of HVAC systegi #5 Typ�of Job: New X Add Alt Repair PluiY bing Fixtures ( Qacli �e i Mechanical Fixtures(S6 each) No._Toilets CIRCLE FUEL TYPE; Gas. Electric. ;___Bath Basins r Heatpump,Other _ _Bath Tubs _N-2. Uaila Fees Showers _ _ Furn BTU i Hot Water Htr ! Heatpumps E Laundry Washer _ Vent Svstems Sinks _ 1 Spot Vent Fans 6.00 Floor Drains oil r /Com r u d:;Qucir:c 2 {1 0 tqn FtP 12.00 I Dishwasher No. ll Air Handling Units Disposal _ cfm#. i Urinals Nam, 5 :t _Other ^� Gas Outlets Wood,Gas, Pellet Stove 25.00 Nrmit Basic Fee 15.00 TOTAL PLUMBING $ Permit Basic Fee 1500 TOTAL.MECHANICAL $33. 00 No Baslc Fee for Wood, Gas, Pellet Stove NOTICE-!This permit becomes Trull and void if work or construction authorized Is not commeni ed,, Within 180 days or If construction or wgrk is suspended or abandoned for a period of 180 days at ny, time after` work is commenced. Proof of continuation of work Is by means of a progress: inspect) n.; ............................................................................................................................................................................................... MAG0r4 couWrY nE_LG Z 4277700 r,_ 03 NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be loc led outside of the existing struaturps, a plat iilan MUST be submitted as required below: Show following on the site plan below:Lot Dimensions, Existing Structures, Structure Setbacks,Water Lines, Septic Systems, Flood Zonds,Wells, Shorelines, Easements, Name of Flanking& Fronting Streets. Indicate directional by N, S, E.W,etc. I I 1 1 E E 1 ' 1 1 E i , ' I , OWNERS AFFIDAVIT CONTRAGTORS AFFIDAVIT I CERTIFY CHAT I AM EXEMPT FROM THE REQUIFI` MENTS OF I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CON RAO- THE CONTOACTORS REGISTRATION LAW RCW 16,27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE O THE AWAncor ltEMAGON COUNTY ORDINANCE RE001REMENTS ORDINANCE Fit_t:IUIHEMENIU HLOULATING THE WOR FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT;ALL WORK WHICH THE PERMIT IS ISSUED AND ALLWORK DONE WILLBE IN DONE WILLtE IN CONFORMANCE THEREWITH.NQ CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALT, BE MADE SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPA TMEN 1} X OWNER BY a� I DATE DATE Return permit to: Department of General Pervices 7 1 426 W. Cedar/P.17. F3ox 196, Shelton, W� 8584 427-96 0! -800 562-5628 EFfi.OFFICIAL USE QNf.Y,; Arppted by: .. ..k. f]atei:R'far i �?;::�.'�,�',�, .i•�>' vi. R "l. e,�ifi:F��1� Tr�y�Q Receipt No : 4 : � 6}a DCt'AR T MENTAL REVIEW proposal Propo al FOR OFFICIAL USE ONLY Approved Denied Planning: 1 Building: i E ' I i :1 i Flre Marshal: E i I i I DEPARTMENT OF LABOR AND INDUSTRIES THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A Jy RMSTRAMN NVMBERI-,;. �! r:FXPIRATgN DATE:.f 1 IQR: i STATE OF WASHiNGTON o , QNA, -TING,M 3Q1 "1:2 �ST STW, I WO.OI?Y WA 9036 ` 05 ------ - F625- 2-000(3-92)J State of Washington County of Snohomish I certify that this is a true and correct copy of a document in the possession of Horizon Heating, Inc. as of - 122)C3 I%Irk--- Britt L'. Walker . 00TAq>r My appointment expires 10-01-97 = _ -*" �� 9 zti �oN W WA