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the Evorpreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />APPLIQ-'i'ION FOR OONSTRI 'v'.oTION <br />PERMIT <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />11 <br />OWNER MAILADETIM CITY ZIP PHONE <br />Vyzis Co. 3605 132nd Ave SE Suite 300 Bellevue, WA 98006 1-800-922-931.1 <br />TENANT MAILADDRESS CITY ZIP PHONE <br />Five B's Inc. 18905 33rd Ave. W. Suite 103, Lynnwood, IVA 98036 775-8442' <br />ARCHITECT OR DESIGNER MAILADDRESS CITY ZIP <br />PHONE <br />Dykeman Architects 1602 Hewitt Ave. Suite 400 Everett, WA 98201 259-3161 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY zip PHONE LICENSE• <br />To be determined <br />MECHANICAL CONTRACTOR MAILADDRESS CRY 21P PHOIIE LICENSEr <br />To be determined <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />To be determined <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION M ALTERATION ❑ REPAIR ❑ OEMOLITICN ❑ WOODSTOVE/FRPL INSERT rl Rlm rmmn mEl ncennM <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />Estimated �75,000 DK <br />CONTRACT PRICE OF WOA' <br />DLSCHIBE WORK AND SQUARE FOOTAGE INVOLVED j1S a a ion. <br />Parft�nitionsighp,, storefront, oors, ceiQings <br />NTAACT PEERS TN AND PHONE NO <br />Caraig Thompson or Ty Heim <br />''1TV7"'e1Rp„ ArrhitFArtc 75G-'{167 <br />PR PCs . I, iE OF BUILDING <br />Exercise Fitness Center <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BETRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL EE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN OR NOTTHE GRANTING OF.A PERMITDOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br />288.200 WAC <br />SIGNATUREO CONTRACTOR OR AUTHORIZED AGENT DATE <br />X 3 3 P11 <br />�- �GfzAZG- Ti10/2'//-5,2 / <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT— BLOCK OF <br />Attached <br />PROJECT ADDRESS <br />7601 Evergreen WaySuite C <br />APPLI NTS CI <br />90 1 7 <br />SLI ENSE NO. ND BUSIIIESS NAME �— <br />he pykeman Architects <br />PLUMBING <br />MECHA <br />CA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYqt OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I A/C —XtHUKGUNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. MEA <br />LAVATORYfWASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK& DISK <br />VENTILATION FAN <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTA114 <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVE14TERS <br />GAS PIPING <br />_ <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />$ <br />1 <br />1 SUBTOTAL $ <br />PERMIT <br />$ <br />1 <br />1 <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />FRONTSETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CNE <br />C�}'"``' <br />KNIlA�16EP <br />pY(, iFEEETS3 1 <br />FEE �� �j <br />QY <br />HE <br />USE ZONE <br />TYPE OF fANST. <br />ALLOWABLE/ACTUAL� <br />LOT AREA <br />OCCUPANCY6ROUP <br />I <br />VACANT SR <br />O YES NO <br />NO OF DWELLING UNITS <br />. & <br />VALUATION <br />FEE <br />BUILDING <br />nC <br />( J <br />PLUMBING <br />SIZE OF 8LDO <br />770 I <br />NOOFSTORIES <br />' <br />SSMT. <br />pCN <br />OCO LOAD <br />21 <br />MECHANICAL <br />OTHER <br />FIRE SPRINKLERS REOUIRED YES ONO <br />APPLICATION ACC. By PLANS APP0.8Y <br />HEIGHT LIMITATION <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />G <br />i <br />R <br />I <br />B <br />