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APPLICATILA FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERET'i • BUILDING DIVISION <br />3200 CEDAR STREET - EVERETT. WA 98201 •259-8810 <br />❑ DEMOLITION h COMBINATION i ' BUILDING MECHANICAL R PLUMBING Il SIGN <br />PROJECT ADDRESS <br />QFC - 2615 Broadway <br />OWNER MAILAODRESS CITY ZIP PHONE <br />QFC 10116 N.E. 8th Bellevue _ <br />TENANT MAII ADDRESS CITY ZIP PHONE <br />Starbucks Coffee 2203 Airport Way S., Seattle, WA 98134 547-4192 _ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Starbucks Coffee <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE* <br />Wilcox Construction 123 <br />4th Ave. N., Edmonds, <br />14A 98020 <br />774-4185 <br />UILCOC194QO <br />MECHANICALCONTRACTOR MAILADDRESS <br />CITY <br />71P <br />PHONE <br />STATE LICEI,-..-' <br />N/A <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIh <br />PHONE <br />,TAIE LICENSE, <br />Nardone Mechanical P.O. <br />Box 848, Edmonds, WA <br />98020 <br />776-6200 <br />NARDOMC152B2 <br />CONTRACT PRICE OF WORK <br />$5, 000.00 <br />HEATING SYSTEM: ❑ GAS FI ELECTRIC ❑ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Set/connect Tenant furnished equipment and <br />CONTACT PERSON AND PHONE NO. <br />plumbing fixtures. <br />_ <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 COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <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 I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLIC ON IS MADE AND I COMPLY WITH THE STATE <br />COzCK"AW 18.27 R AND 296.200 WAC. <br />X 6/26/96 <br />PROPOSED USE OF BUILDING <br />Coffee shop in QFC grocery store. <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT BLOCK OF <br />See Attached <br />PARCEL TAX ID. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />SIGNATURE DATE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />1 <br />A/C—A/HNDLG UNITS — H.P. <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS -- B.T.U. M E.A. <br />_ <br />; <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />3 <br />I KITCHEN SINK 8(3PM <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />1 <br />VENTILATION FAN <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />; <br />CLOTHES WASHER <br />—� <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />4 <br />SINK (SERVICE — BAR, ETC.) <br />�— <br />GAS RANGE <br />1 <br />Electric Water Heater <br />' <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />I <br />g <br />SUB TOTAL $ <br />SUB TOTAL $ <br />; <br />PERMIT $ <br />1 <br />OERM1T $ <br />I <br />TOTALFEE $ <br />I TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAP SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />a13/ <br />USE ZONE <br />LOTAREA <br />VACANT SITE. <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />i <br />DYES n NO <br />HEIGHT IMITATION <br />NO. OF DWELLING <br />SIZE OF BLDG/TL <br />lNliS <br />PLUMBING <br />OCCUPANCY NO OFStORIES <br />OCCUPANTLOAD <br />BASEMENT <br />MECHANICAL <br />GROUP <br />OYES ❑ NO <br />ADDITIONAL PLAN CHECK <br />i <br />1 <br />FIRE ALARM REOD <br />REASON <br />OTHER <br />1 <br />FIRE SPRINKLER REO'D <br />REASON <br />1 <br />STATE BUILDING SURCHARGE <br />TYPE OF CONST. <br />PLANS APPROVED BY <br />CITYOFEVERETT <br />PUBLICWORKS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />r I <br />DATE <br />