1402 SE EVERETT MALL WAY COMMUNITY ROOM 2018-01-02 MF Import

APPLICAT104 FOR CON TR CT 7N PERMITi- TO BE COMPLETED IN BLACK INK -PLEASE PRINT �� BUILDING DEPARTMENT 259-8810 ❑ DEMOLITION ❑ COMBINATION _.....__ MAIL ADDRESS MAIL HEATING SYSTEM: ❑ GAS J ELECTRIC U OLUMBING SIGN El BUILDING y El MECHANICAL /.�a%,// `� II ��QCITY / 21P PHONE ifl P`© V SLIP✓c 1,j �l r1ry ZIP PHONE V I Lkc y � C NTRACT PRICE OF'WOR coo DESCRIBE WORK AND SQUARE F WTAGE INVOLVED l PROPOSED USE OF BUILDING LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) LOT BLOCK OF C��,P Q i/r✓cFA-Kee- ZA4 PARCELTA%ID.NUMBER A NO. TYPE OF FIXTURE OR SINK FOR OFFICE USE ONLY: FRONT SETBACK REARSETBACK USEZONE LOT AREA TYPE OF CONST. NO. OF STORIES SIZE OF BLDG, FIRE SPRINKLERS REO'D ___.......... ...n FIRE ALARM RED DATE CITY PHONE 71P PHONE _ STATE LICENSES CONTACT PERSON AND PHONE NO. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER AAPPLICAOTIONISIS PROPERTY ANDPI COMPLYFORM WITHWORK T THEFOR WICH STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. d�o v � 4 4 TYPE FAN EMS-B.T.U. M E.A. T.U. M FEE $ S IN VFI.Nry I ❑ YENO BUILDINGOCCUPANCYIHG UHF$ GROUPPLUMBINGBASEMENMECHANICAL ❑ YENO PLAN CHECKOTHERSTATE HEIGHT LADDITIONAL WU4'TI BUILDING SURCHARGECITRETT PUBLIC WORKSLESTAX3105 TOTAL