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the Evergreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />T <br />F i;�irr <br />APPLIC 1"ION FOR CONSTRG TION <br />PERMIT <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />OWNER MAILADDRESS CITY ZIP PHONE <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />Pandagraphics Inc. 305 S.E. Everett Mall Way Everett,PA 98208 353-6222 <br />ARCHITECT OR DESIGNER MAR ADORESS CITY ZIP PHONE <br />ie <br />GEN ERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE• <br />United Western Construction P.O. Box 33428 Seattle, WA 98133 367-3801 <br />MECHANICAL CONTRACTOR MAR ACORESS CITY ZIP P14ONE LICENSE• <br />PLUMBINOCONTRACTOR MAIL ADDRESS CITY ZIP LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />Pandagraphics Inc. <br />CONTRACT PAICEIDIF WORK <br />' <br />�j <br />CONTACT PERSON AND MIO',E NO. <br />DESCRiR�IBE W1O�RK AND BOUARE{{FOOTAGEINVOLttVjEjD g n{ �d �hr <br />painted0alsl%Ta11s;o�uilE18 feet of countteor°m l.ith <br />industrial floor epoxy, -- <br />PROPOSED USE OF BUILDING <br />print shop <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN ED 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 ON NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION)ORTHE PER- <br />FORAIANCE 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 C PLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br />296.20 W C <br />SIUNpi E FCONTRACIIIOR OR AUTI/ORIZED A1GENT(( DATE <br />( v <br />X /a � �� BUSINESS <br />pPPLIO CITY^.:'SIN SLICEN NO. AND DFUES-INESB NAM <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK OF <br />PROJECT ADDRESS <br />305 S.E. Everett Mall Way, 1117 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />O. TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS —H.P. <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS— B.T.U. M EA <br />_ <br />LAVATORY (WASH BASIN) <br />_ <br />_ <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK& DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHESWASHER <br />_ <br />_ <br />WOOD STOVE <br />_ <br />_ <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />I4EAT PUMP <br />BACKFLOW PREVENTERS <br />_ <br />_ <br />GAS PIPING <br />ROOF DRAINS— RAINLFADERS <br />EXHAUST FAN <br />_ <br />SINK (SERVICE— BAR, ETC.) <br />SUBTOTAL <br />E <br />SUBTOTAL E <br />_ <br />PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE $ <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPF NO. <br />USEZONE <br />TYPE OF CONST. <br />ALLOWASLE/ACIUAL <br />LOT An" <br />VACANT SITE <br />❑ YES O NO <br />FEES <br />VALUATION <br />FEE <br />BU'LDING <br />--- <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NQOFS10RIES <br />BSMT. <br />❑ r <br />❑N <br />OCC LOAD <br />MECHANICAL <br />— <br />OTHER <br />FIRE SPRINK-LERS REQUIRED 1] YES U NO <br />HUGHTLIMITMION <br />STATE BUILDING SURCHARGE <br />--] <br />APPLICATIONACCBY PLAIISAPP BY <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />