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I„e Evergreen ` 'APPLICATION FC';Z [61 <br />CITY OF CONSTRUCTION <br />everett PERMIT) <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDING DEPT <br />259-8745 ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Melvile Corporation, <br />3000 Westchester Ave., <br />Harrison, NY <br />10528 <br />(914)253-8000 <br />ARCHITECTOR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />David Udkow <br />11801 N. Tatwn Blvd., <br />Phoenix, AZ <br />85028 <br />(602)953-1982 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />omjey ConstructiOr, <br />� 32T 4 F Everett Mrll <br />Wav�erett. WA <br />98208 <br />(2o6)3h8-3635 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE - <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE - <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION IN ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL. INSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORK (COSr OF 14ATERMLS PLUS LABOR) <br />$57,500 <br />DESCRIBE WORK <br />AemnAcl cvic+ino RnRna PP in Everett MRll <br />USE OF BUILDING <br />Toy Store <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOWTHE SAMETO BE TRUEAND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THISTYPE <br />Oc WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE�8/7/87 <br />X THOMAS BOOKER cc. / TE <br />LEGAL DESCRIPTION OF PROPERTYISHOWN BELOW OR ATTACH FOUR COPIES) <br />Attached <br />LOT— BLOCK 0 <br />J e <br />PROJFCT ADDRESS Everett Mall Add do <br />Everett Mall Way, Everett, WA <br />APPLICANTS CITY BUSINESS LICENSE NO. <br />07Oh8 <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />AIR CONO UNITS—H.P. EA - <br />REFRIGERATION UNITS—H.P. EA <br />LAVATORY(VYASII BASIN) <br />BOILERS—H.P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA <br />_ <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS—S.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />URINAL <br />CLOTHES DRYERS <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />AIR HANDLING UNIT— C.F.M. <br />STOVE <br />ROOF DRAIN S—RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK(SERVICE—BAR, ETC.) <br />WOODSTOVE/FIREPLACE INSERT <br />_ <br />SUB TOTAL <br />PERMIT S <br />SUBTOTAL 5 <br />PERMIT 5 <br />_ <br />TOTALFEE 5 <br />TOTALFEE 5 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />VAS <br />FEE A A- <br />RECEIPT NO. Qat <br />( <br />USE ZONE <br />LOTAREA <br />IA <br />VACANT SITE <br />OYESXNO <br />FEES <br />VALUATION <br />FEE <br />T,(YP/J��F` <br />C'ONSTT.. <br />OCCUPANCYGROUP <br />,V <br />NO. Or DWELLING UNITS <br />�) <br />J <br />.'M P�1 <br />BUILDING <br />.�q <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />TTO <br />PLUMBING <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED AYES d NO <br />, l <br />OTHER <br />PENALTY <br />APPLICATION FCC. BY <br />PLANS CHECKED PY <br />APPR. FOR ISSUANCE BY <br />� <br />TOTAL <br />' f� <br />