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S1260-Payless <br />APPLICATIO.. FOR CONSTRUCTf �N PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE PRINT 4�r <br />HEATING SYSTEM: $$GAS <br />[DIELECTRIC <br />❑ <br />BUILDING DEPARTMENT <br />259-8810 28 D <br />❑ DEMOLITION Ll COMBINATION <br />Ll BUILDING <br />XRMECHANICAL <br />❑ PLIIMBING ❑ SIGN <br />OWNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Payless #2803 1402 SE Everett <br />Mall Everett 98208 <br />353-8201 <br />TENANT MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE STATE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE STATE LICENSED <br />Bel -Aire, Inc 2172 Division <br />St Bellingham WA <br />98226 <br />206-733-4652 BELAIHA163LJ <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE# <br />CONTRAC/ PRICE OF WORK <br />$11,357.32 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND P N IN <br />Kevin Pike Lp$�- 33-4652 <br />Replacement Of 2 Existing Rooftop 20 Ton <br />Units <br />With New. 38,136.00 SQF <br />I HEREBY CERTIFY THAT I 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 COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 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 />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />L <br />C, ' 7-22-94 <br />PROPOSED USE OF BUILDING <br />Commercial <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT- BLOCK OF — <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS, TELEPHONE NUMBER <br />1402 SE Everett Mall _y <br />PROJECT ADDRESS <br />SIGNATur DATE <br />CITY BB MESS LICENSE NO. <br />PLUMBING <br />ME <br />ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />2 <br />A/C—A/HNDLG UNITS—H.P. 20 Ton <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />I <br />LAUNDRYTRAY <br />; <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />WOOD STOVE <br />i <br />URINAL <br />; <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT <br />i <br />FLOOR DRAIN <br />' <br />HEAT PUMP <br />' <br />BACKFLOW PREVENTERS <br />; <br />2 <br />GAS PIPING Connections <br />; <br />ROOF DRAINS—RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />;-------- <br />I <br />SUB TOTAL $ <br />SUBTOTAL $ <br />/4/0 'OD <br />PERMIT $ <br />' <br />PERMIT $ <br />z r— I <br />TOTAL FEE $ <br />TOTAL FEE $ <br />/sS 'OCD <br />i133T�TzzILY�Ill I1\C <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECf NUMBER <br />sls <br />EEL <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />i <br />i <br />❑ YES ❑ NO <br />TYPE OF COME <br />NO. OF STORIES <br />GCCIIN.NGY <br />GBWP <br />I #OAP IINGUNITS <br />SIZE OF BLDG. <br />FIRE SPRINKLERS REDD <br />BASEMENT <br />MECHANICAL <br />' <br />' <br />— <br />❑ YES ❑ NO <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD <br />FIRE ALARM REQ'0 <br />HEIGHT LIMITATK)N <br />I <br />OTHER <br />REASON <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PLANS APPROVEDBV <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />DATE <br />TAX CODE IS 3105 <br />TOTAL <br />