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APPLICATIt�:V FOR CONSTRUC': `'ON P�RMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOUTION fl COMBINATION p BUILDING '�! MECHANICAL O PLUMBING ❑ SIG <br />PROJECT ADDRESS <br />OWNER MAILAODRE55 CIiY 21P pHONE <br />EDWARD J. DEBARTOLO & ASSOC. P.O. BOX 3287 YOUNGSTOWN, OH 44512-6085 <br />TENANT MAILAODPESS CITY ZIP PHONE <br />WALDLNBOOKS <br />qRCHITECTOflDESIGNER MAILAO�PE55 CITV ZIP PMONE <br />JOHN ABEL (SAME AS BELOW) <br />GENERALCONTiUCTOR MAILADDRESS CIIY ZIP PHONE STATELICENSE� <br />SKAGGS GENERAL CONTRACTOR, INC. 73 RAY ST. , SUITE'C' (S1Q) 462-6770 �bB�Z� <br />MECHANICRLCONTRACTOR MpILADDPE55 ��TY Z1P(206) 481-Ytl@'� STATELJCENSE� <br />JOHN ABEL FIRE PROTECTION 4932 W. INTERURB4N BLVD. BOTHELL, WA 48p12 J.IABEFP157KN <br />PLUMBING CONTRACTOR MRIL FDORE55 CITV 21P PHONE � ST�TE LICENSE 1 <br />$ 3,500.00 <br />OEGCiY9E WWi1FAND SOUAflE FOpTAGE INVOLVED <br />PROPOSED USE OF BUILDING <br />RETAIL <br />LE6t" OESCRIPTION OF PflOPER1Y (SHOWN OELOW OR ATUCH TWO COPIES) <br />i�1 - - _ eiocK oF <br />� . �i- I'�''ln l 1 <br />FARCF.L T�/ D. NUMF_- � p- 1� c <br />�� U � Ll S"- Y L��G -���� <br />COH$ IEiUCTY" �r �'� ���cfl• �DRESS. TELEPHONE NUMBER <br />.. 7nf�'���T — <br />PLUMBiNG <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWE(i <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE - BAR. ETC.1 <br />SUB TOTAL $ <br />PEflMIT S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK AEAP SETBACK SIDE SETBACK <br />USEZONE <br />MEIGNT L�MITATION <br />� <br />LOTAREA <br />NO. OF DW ELIJN6 <br />UNITS <br />OCCUPANTLOqD <br />VACANT SITE <br />❑ YES ❑ NO <br />SIZE OF BLOGrt.I. <br />❑YES ❑ NO <br />C�TY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONTACT PEq50N AND PHONE NO. <br />� HEflEBY CERTIFY THAT I HAVE READ AND EXAMINED T:il: <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OI <br />VJORK Will BE COMPLIED WITH WHETHEF SPECIFIED HEREIN Of <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV[ <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN1 <br />OTHEF STATE OR LOCAL LAW REGIiLATING CONSTRUCTION OR THC <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TH[ <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICh <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />x. �/����r �eC. i�n� II/21/95 <br />SIGNATURE OATE <br />a�3�%�� <br />CITY BUSINE55 LICENSE N0. <br />MECHANICAL <br />N0. TYPE OF FlXTURE OR ITEM FEE <br />A/C —A/HNDLG UNITS — H.P. � <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br />HEAT PUMP i <br />IINITHFATFGC—RTII M � <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL $ <br />TOTAL FEE $ <br />PUNCHECKNl1M6ER � FEE � HECEIPTNO. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDITIONRL PLAN CHECK <br />OiHEH <br />STATE BUILDING 5 RCHAI <br />PUBLIC WOflKS <br />TOTAL <br />