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APPLICATId,. FOR CONSTRUCT6-JN PERMIT <br />BIP E,rr9n Fn <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />OKO-8810 <br />TO BE COMPLETED IN INK -PI EASE PRINT <br />everett <br />e <br />EATING SYSTEM: U GAS U ELECTRIC U _� <br />❑ DEMOLITION <br />I I COMBINATION <br />XX BUILDING <br />I ' MECHANICAL <br />I 1 PLUMBING I SIGN <br />OWNER MAIL ADDRESS <br />The Boeing Company, P 0 Box 3707 <br />CITY <br />MS 01-1-24, Seattle, <br />ZIP PHONE <br />WA 98124, 342-0871 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Owner <br />— <br />ARCHITECT OR DESIGNER <br />BECE, P 0 Box <br />MAR ADDRESS C'SY' ZIP PIgNE <br />3707; MS 6Y-73, Seattle, WAL98124-2207, 393-2965 <br />O{NEI)AL CONTRACTOEi <br />MAR AODRE63 <br />ITY <br />' <br />ZIP PHONE <br />S'g r�5'h <br />LICENSE <br />•Z <br />�.� • <br />/L 7 <br />A2!-, <br />iJY� <br />G/S1/L/z+C- <br />.. ,•V <br />nP PHONE. <br />LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />CLASS OF WORK i l me...0 I I ncury lTTnN I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br />11 NrW AA AUDI I Nun .. . .._.._.. <br />CONTACT PERSON AND PHONE NO <br />Engr est. $818.000 <br />Leonard Astemborski 266-3563 <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Add mezzanine offices, 11,90OSF 40-22/23 Bldg) <br />PRDPOSEDUSE OFWILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT. ALL <br />Offices ace <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIES) <br />LDT BLOCK OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITI' 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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />PROLACTADDRESS <br />Bldg 40-22/23, 3003 W. Casino Rd., Everett <br />APPLICANTS CITY BUSINESS LICENSE NO AND BUSINESS NAME <br />P'LumEN10 <br />N0. ThE OF FUITUM ON REM FEE <br />MECHANK:AL <br />NO. TYPE OF EOUIPMENT FEE <br />WATER CLOSET (T01 <br />I <br />A1C—A/HNDLG UNITS—H.P. <br />' <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />I <br />UNIT HEATERS—B.T.U. M <br />i <br />SHOWER <br />' <br />CLOTHES DRYERS <br />KITCHEN SINK a DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />WOOD STOVE <br />' <br />URINAL <br />' <br />METAL FIREPLACE A CHIMNEY <br />' <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />I <br />FLOOR DRAIN <br />HEAT PUMP <br />' <br />SACKFLOW PREVENTERS <br />; <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />' <br />SINK (SERVICE —BAR, ETC.) <br />I <br />I <br />SUB TOTAL $ <br />SUB TOTAL $ <br />' <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />' <br />TOTALFEE $ <br />' <br />rvn vrrou& wall: <br />FRONT SETBACK <br />USE ZONE <br />v,nr.. <br />REAR SETBACK <br />A.�� <br />LOTAnEA <br />SIDE SETBACK <br />VACANT SITE <br />PLAN CHECK NUMBER FEE <br />9/ aGcs7 L <br />FEES VALUATION <br />RECEIPTNO <br />FEE <br />BUILDING <br />PLUMBING <br />/A '19T <br />I <br />TYPE OF CONTS ALLOWABLE <br />TYPE OF CONST ACTUAL <br />.1-rY - AJ <br />8+ <br />IKtunM. <br />A11° <br />KR IK GATII'NGIINII, <br />-a- <br />MECHANICAL <br />I <br />BITeE 1O^F B`LDG <br />I�INr MB <br />No. OF STORIES <br />' <br />BASEMENT <br />P4v <br />ADDITIONAL PLAN CHECK <br />p' <br />/ 19i 30 <br />OUPANCY LOAD FIRE SPRNKLERS REDD HEIGHT LIMITATION <br />IO NG S Ex1sT`' <br />REASON FOR SPRINKLERS <br />OTHER <br />i <br />STATE BUILDING SURCHARGE <br />� ,Sa <br />PUBLIC WORKS <br />INTAKE BY <br />PLANS APPO Bev <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />3 3 0 o 1 39 <br />