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the Evoprnn <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8745 <br />G1.,iPPLICATION FO►�> <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEAGE PRINT <br />0 DEMOLITION <br />❑ COMBINATION <br />LrBUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />Cascade Development <br />Group 3625-132nd Ave SE Bellevue'WA 98006 <br />643-4300 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />DOAQ Architects <br />3224 Wetmore Ave Everett, IIA 98201 <br />259-3161 <br />GENERAL CONTRACTOR <br />MAIL AUDHESS <br />CITY ZIP PHONE <br />LICENSE• <br />To be selected <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE• <br />To 'be selected <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE• <br />To be selected <br />CLASS OF WORK <br />Q NEW ❑ ADDITION <br />Cl ALTERATION ❑ <br />REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT ❑ <br />DUILDING RELOCATION <br />VALUATION OF WORK (COST OF MAI LHIALS PLUS LABOR) <br />S 0c C <br />00-00U Fk-OC115 <br />b '� <br />I4, 25,4&,p c <br />DESCRIBE WORK <br />r.,,,.r,•,IY•tint, of s cnncrete tilt-uo buildings $ related site work <br />USE OF BUILDING <br />Retail S110pS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVE RNI NG THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Die <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE P RFORMANCE OF CONSTRUCTION. <br />SIGNATUR OFCO CT OR AUTHORIZED AGENT DATE <br />X ai om son Au ust 22, 198 <br />LEGAL DESCRIPTIONOFPBOPERTY(SHOWN BELOW On ATTACH FOUR COPIES) <br />LOT_BLOCKOF <br />See attached surveys <br />With legal descriptions <br />PROJECT ADDRESS <br />Between 75th 76th on Evergreen Way1175 <br />APPLICAN CH BUSI SS LA ENSE NO. <br />PLUMBING <br />MECH CAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS—H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS—H.F. EA <br />LAVATORY (WASH BASINI <br />BOILERS—H.P. EA. <br />SHOWER <br />GAS FIRED AC, UNITS —TONNAGE EA <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHEF <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DIl iIN <br />AIR HANDLING UNIT— C.F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS—RAINLEAOERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE —BAR, ETC.) <br />WOODSTOVE/FIREPLACE INSERT <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT S <br />PERMIT S <br />TOTALFEE $ <br />TOTALFEE S <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />SIZE OF BLDO. <br />BY <br />01-im <br />FEAR SETBACK <br />LOT AREA ,�• <br />/ OCCUPANCY GROUT <br />CHECKED BY <br />j6r- <br />SIDE SETBACK PLAN <br />VAC�t1T SITE C <br />t FES ONO <br />NO. OF DWELLING UNITS <br />LOAD <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />' 70�[� -1I FEE / L'S'g� RECEIPT NO gl� <br />FEES / I VALUATION 1O FEEV I <br />�'Ej��`IZ�rjtc 'pL_iaPc� � MIF=.la. <br />5 <br />7. <br />