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APPLICATIC''1 FOR CONSTRUCT'�1�1 PERMIT �✓� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT <br />259-8810 <br />HEATING SYSTEM: ❑ GAS ❑ EI_ECTRIC ❑ <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING <br />MAIL <br />ZIP ^ ' PHONE <br />❑ PLUMBING ❑ SIGN <br />TENANT MAIIA�DPE55 C:N ZIP PHONE � <br />SUNGLASS SOURf,E 1402 S.E. EVERETT MALL WAY EVERE�T 98208 N/A <br />FRCHITECTOflUE51GNEH MAILADDRESS CITY ZIP PHONE <br />JOHN J. ABEL SAME AS f3ELOW <br />GENERALCONTRACT09 MAILAOORE55 CITY ZIP PHOhe STATELICENSEP <br />DYNA-TECH CONSTRUCTION CORP. 1829 188TH N.E. ARLINGTON. 98223 DYNATCC088CR <br />MECHMlICALCONTflACiOR MAILADOflE55 CITY ZIP PH0�19 STA7EUCENSE/ <br />John J. Abel Fire Protection Co.. Inc. 4932 W. Interurban Blvd. Bothell. WA 98012 481-7669 <br />PLUMBING CONTRACTOfl UAIL ADDRESS CITV ZIP PHONE STATE LICENSE / <br />JJASEFP157KN <br />CONTMC� PRICE OF WORK <br />$ 1,300.00 <br />DESCHIBE WORK AND SOUAHE FOOTAGE INVOLVED <br />PROPOSED USE OF BUILDING <br />RETAIL <br />LEGAL DESCRIPTION OF PflOPEflTY (SHOWN BELON' OR ATTdCH TWO COPIES) <br />LOT BLOCK OF <br />PARCELTA%LD.NUMBER <br />CONSTRUCTIONLOANLEN�Efl.A00flES5,TELE <br />{�� I A <br />PROJECTADDRESS <br />1402 S.E. EVERETT MALL <br />NO. TYPE OF <br />WATER CLOSET <br />LAVATORY <br />KITCHEN SINK 8 DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REPR; <br />USEZONE <br />nve oF caNsr. <br />SIZE OF BIOG. <br />OCCUPANCVLOAD <br />REASON <br />INTAKE BV <br />SUB TOTAL $ <br />NO.OF STORIES <br />FIRE SPRINNLERS HEO'D <br />FIqE ALAPM REO'D <br />PLANSAPPROVEDBY <br />DATE �y/ii,I�CF' <br />SI�E SETBACK <br />CONTACT PERSON AND PHONE ND. <br />I HEREBY CERTI�Y THAT I HAVE READ.AND EXAMINED THI: <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. ALi <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Oi <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Ot <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVI <br />AUTHORITY TO VIOLATE OR C:i�CEL THE PROVISIONS OF ANl <br />OTHER STATE OR LOCAL LAW REvULATING CONSTRUCTION OA THI <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOflIZED BY THL <br />OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICI <br />APPLICATION IS MADE AND I COMPLY WITH THE STATI <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X r>$�1C[/. �%1a.�u�u <br />�'�i� <br />CITY BIIEINESS IICENSE HO <br />MECHANICAL <br />FEE N0. TYPc' OF EOUIPMENT <br />� A/G—A/HNDLG UNITS—H.P. <br />; FORCED AIR SYSTEMS—B.T.U. <br />� UNIT HEATERS—B.T.U. M <br />� CLOTHES DRYERS <br />; VENTILATION FAN <br />� RANGEHOOD <br />; WATERHEATER <br />� WOOD STOVE <br />; METAL FIREPLACE (WOOD BURI <br />� FIREPLACE INSEflT <br />� HEAT PUMP <br />; GAS PIPING <br />� EXHAUSTFAN <br />VACANT SITE <br />❑ YES ❑ NO <br />acua.wcr xoorownw�cuxns <br />uNWP <br />BASEMENT <br />❑ YES ❑ NO <br />f OF EVERETT <br />1CAL SALES <br />CODE IS 3105 <br />t�f <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE 5 � <br />PLAN ChEC NUMB FEE RECEIPT N0. <br />���a a U /o�S� <br />BUILDING <br />PLUMBING <br />IdECHANICAL <br />ADUITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />X <br />� <br />� <br />b <br />