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APPLICATIt"N FOR CONSTRUCY'"'ON <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />fl DEMOLITION Fl COMBINATION n BUILDING i MECHANICAL <br />[PROJECT ADDRESS <br />CRY <br />PHONE <br />PERMIT <br />Cl PLUMBING ❑ SIG <br />TENANT MAILADDRE55 lJ ""' Ty <br />BASKIN & ROBBINS 530 S.W. EVERETT MALL WAY <br />ARCHITECT OR DESIGNER MAILADDRESS CITY ZIP PHONE <br />JOHN ABEL 4932 W. INTERURBAN BLVD. BOTHELL WA 98012 (206) 481-7669 <br />GENERAL CONTRACTOR MAILADDRE55 <br />CITY ZIP <br />rnuNt <br />����_.+�_^+_• <br />TENANT CONTRACTORS P.O. <br />BOX 1130 ENUMCLAW <br />WA 98022 <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />STATE LICENSE I JJABEFP 157N <br />JOHN J. ABEL FIRE PROTECTION <br />4932 W. INTERURBAN BLVD. <br />BOTHELL, WA <br />98012 481-7669 <br />PLUMBING CONTRACTOR MAILADDRESS <br />CITY ZIP <br />PHONE <br />STATE LICENSE <br />U— VWIN <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />1f000.00 <br />CONTACT PERSON AND PHONE NO. <br />CAREY MANNING (206) 481-7669 <br />DESCRIBE WORKAND SQUARE FOOTAGE INVOLVED <br />HEADS & <br />RELOCATE 10 EXISTING SPRINKLER <br />ADD 2 " DROPS AND ADD ONE DRY PENDANT. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIF <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALI <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OI <br />PROPOSED USE OF BUILDING <br />RETAIL <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVL <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIESI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN) <br />LOT elocK of <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE: <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THL <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICC <br />APPLICATION IS MADE AND I COMPLY WITH THE STATC <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />PARCELTAX I.D. NUMBER <br />{'//� pI <br />l /I! /) jj /�i«/15/95 <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />SIGNATURE GATE <br />91078 <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C—A/HNDLG UNITS — H.P. <br />' <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />' <br />' <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK & DISP <br />i <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />' <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />I <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />I <br />SINK (SERVICE — BAR, ETC.) <br />I <br />GAS RANGE <br />' <br />' <br />GAS PIPING <br />' <br />EXHAUST FAN <br />' <br />I <br />, <br />I <br />, <br />SUB TOTAL $ <br />I <br />SUBTOTAL $ <br />' <br />PERMIT $ <br />I <br />PERMIT $ <br />' <br />TOTALFEE $ <br />' <br />TOTALFEE $ <br />' <br />run vrrw" was <br />FEE <br />RECEIPT NO. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBERn <br />w� <br />5(/rvF{EEE'S <br />VALUATION <br />FEE <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />❑LIES ❑ NO <br />BUILDING <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDGR.I, <br />' <br />' <br />UNITS <br />PLUMBING <br />MECHANICAL <br />i <br />I <br />OCCUPANCY <br />NO OF STORIES <br />OCCUPANTLOAD <br />BASEMENT <br />GROUP <br />❑YES IT NO <br />I <br />ADDITIONAL PLAN CHECK <br />FIRE ALARM RED <br />REASON <br />i <br />OTHER <br />I <br />FIRE SPRINKLER REOD <br />REASON <br />STATE BUILDING SURCHARGE <br />i <br />PUBLIC WORKS <br />' <br />TYPE OF CONST. <br />PLANS APPRCVED BY <br />CITY OF EVERETT <br />,Im <br />LOCAL SALES <br />II , Dj <br />TAX CODE IS 3105 <br />TOTAL <br />' <br />DATE <br />