Laserfiche WebLink
APPLICATIGIA FOR CONSTRUCTION <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />n nXamnl lr ^%. <br />PERMIT <br />v�.lvl1 I I COMMINAIILIN iXl BUILDING ❑ MECHANICAL 1-1 PLUMBING Fl SIGN <br />PROJECT ADDRESS <br />CLAREMONT VILLAGE - 4950 EVERGREEN WAY EVERETT, WA <br />3WNER MAILADDRESS CITY <br />ZIP PHONE <br />MGMAB LP 320 108th Ave Ne #406 <br />Bellevue WA <br />98004 <br />206 462-24 0 <br />TENANT MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />Les Schwab Tires 4950 Evergreen WA Everett <br />WA <br />259 0814 <br />ARCHITECT OR DESIGNER MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />TSA ARCHITECTS PO BOX 607 BURLINGTON WA <br />982 <br />GENERAL CONTRACTOR MAILADDRESS <br />CITY <br />ZIP <br />PHONE STATE LICENSE It <br />SDL CORPORATION 3150 Richards <br />Road Bellevue <br />WA <br />98009 <br />MECHANICAL CONTRACTOR MAILADDRESS <br />CITY <br />ZIP <br />_ <br />PHONE STATE LICENSE, <br />PLUAIRI4 n <br />--""""" '"^'L^D"^_SS <br />CITY <br />ZIP <br />_ <br />PHONE STATE LICENSE• <br />$150.Oon <br />CONTRACT PRICE OF WORK <br />.ADT)T,pTnm or <br />HEATING SYSTEM: flGAS f1ELECTRIC Fl <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO. <br />EXISTING LES SCHWAS STORE AT CLAREMONT VILLAGE. <br />CHRIS COLE <br />SPACE WILL ADD THREE(3) NEW BAYS TO THE STORE. <br />(206) 462-2490 <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROPOSED USE OF BUILDING <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWOCOPIESI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOCK OF <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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />ATTACHED <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br />PARCEL TAX I.O. NUMBER <br />TRRRANQMTrS <br />--• <br />I 'l,��GI�QIY�.L, W <br />CONSTRUCRON LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />X <br />SIGNATURE DATE <br />f <br />CITY BUSINESS LICENSE NO. <br />RRTILEVIIFF WA 28004 206-4F,2-94qn <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/HNDLGUNITS —H.P. <br />I <br />BATHTUB <br />; <br />ORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />AVATORY (WASH BASIN) <br />, <br />H T PUMP <br />, <br />SPIQWER <br />' <br />UNIT F1116TERS—B.T.U. M <br />1 <br />KIT EN SINK & DISP <br />; <br />CLOTHES YERS <br />) <br />DISHW HER <br />VENTILATION N <br />, <br />LAUNDRY AY <br />RANGE HOOD <br />CLOTHES WA ER <br />, <br />WATER HEATER N,, <br />URINAL <br />' <br />WOOD STOVE <br />, <br />DRINKING FOUNTAI <br />METAL FIREPLACE (W00 BURNING) <br />; <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD URNING) <br />, <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />I <br />GAS RANGE <br />, <br />' <br />GAS PIPING <br />i <br />EXHAUST FAN <br />i <br />SUB TOTAL $ <br />SUB TOTAL $ <br />, ' <br />PERMIT $ <br />, <br />PERMIT $ <br />, <br />TOTALFEE S <br />' <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: Jk / P 7 A7 in I) Iz%'l- -- 1W)P l QA!,l I % <br />FRONT SETBACK <br />REAR SET ACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZON <br />LOTAREA <br />V ANT SITE <br />FEES <br />VALUATION <br />FEE <br />- <br />FIYES fl NO <br />BUILDING <br />VV•G ~T <br />-I:i'�� <br />HEIGHT LIMITATION <br />NO. OF DWELLING <br />SIZE OF BLDGRI <br />PLUMBING <br />UNIT$ <br />2 / // - <br />OCCUPANCY I NO OF STORIES <br />GRO <br />OCCUPANT LOAD <br />BASEMENT <br />MECHANICAL <br />' <br />5- I <br />� I <br />I LIYES NO <br />' <br />ADDITIONAL PLAN CHECK <br />FIRE ALARM REO'D <br />REASON <br />No <br />OTHER <br />i <br />' <br />FIRE SPRINKLER REO'0 <br />REASON <br />STATE BUILDING SURCHARGE <br />�J <br />�0 <br />TYPE OF CONST <br />PLANS AP ROVED BY <br />CITYOFEVERETT <br />PUBLIC WORKS <br />i <br />LOCAL SALES <br />��; <br />DATE -Z -SG <br />TAXCODEIS3105 ITOTAL <br />