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!+ih� <br />APPLICkrION FOR CONSTRU' �TION <br />PERMIT <br />the Evetgreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />TO BE COMPLETED IN INK — PLEASE PRINT <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE206-682-3S45 <br />Pan Pacific Development <br />Inc. 1601 <br />5th Ave. Suite <br />1701, <br />Seattle, WA 98101 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />_ <br />PHONE <br />Earl Hanson <br />306 State Ave. <br />Marysville, WA <br />98270 <br />206-659-8555 <br />ARCHITECT OR DESIGNER <br />MAR ADORES" <br />CITY <br />ZIP <br />PHONE <br />Scott Kirkland <br />13004 Hil.Ltop Rd. <br />Arlington, WA <br />98223 <br />206-653-3978 <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />To be selected <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />_ <br />PHONE LICENSE <br />To be selected <br />PLUMBING CONTRACTOR <br />MAR ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />To be selected _ <br />CLASSOFMORK <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br />instaii rioor a waii rinisnes, mod <br />6 electrical (under SeDa a Der-' <br />,. <br />S, <br />206-653-3978 <br />PROPOSED USE OF BUILDING Muscial instruments Sales <br />Retail and instructional classes. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMITDOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER_ <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCAF AND <br />296.200 WAG. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 6'1.3-89 <br />X�fi' j�1�Yli <br />LECIAL DESCRIPTION OF PROPERTYISHOWN BELOW OR ATTACH FOUR COPIES) <br />Lot BLOCK__ OF <br />See Cover drawing of construction <br />Ca3LTxde Mu tZ <br />PIpJEGT ADDRESS Everetta ay <br />Suite 14, Everett, WA 98204 <br />_ <br />APPLICANTo CITY BUSDE S LICENSE NO. AND BUSINESS NAME <br />Scott Kirkland <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS— B.T.U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS— B.T.U. M <br />SHOWER <br />_ <br />CLOTHES DRYERS <br />KITCHEN SINK& DISP. <br />VENTILATION FAN <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHESWASHER <br />WOODSTOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIRFPLACE INS RT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />_ <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUSTFAN <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL E <br />SUBTOTAL E <br />PERMIT E <br />PERMIT E <br />TOTALFEE E <br />TOTAL FEE E <br />_ <br />FRONTSETBACK <br />REARSSIBACK <br />SIDESEIOACK <br />PLAN CHECK NUMBER <br />as o s <br />FEE <br />9� <br />RECEIPTNM <br />a3a ss <br />USEZONE <br />C _/ <br />LOTAREA <br />VACANISITE <br />❑ YES K1 0 <br />— <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CON"T. <br />AILOWABLFJACT AI <br />—N <br />OCCUPANCYGROUP <br />$."Z <br />NO. OF OWEL LING LINT IS <br />PLUMBING <br />SIZE OF BLUM <br />3000 <br />(IOOFSTORI[S <br />/ <br />BSMI. <br />DY <br />N <br />OCC LOAD <br />,Z p, <br />MECHANICAL <br />OTHER <br />FIRE SPRINKLERS REQUIRED ❑YES NCNO <br />HEIGHT LIMITATION <br />STATE BUILDING SURCHARGE <br />— <br />APPLICATION ACC BY PLANS APPn. BY <br />y,1' <br />r, 1 <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />