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I <br />3 PLICATION FOO <br />CITY OF Rtits E'"'°"'R CONSTRUCTION <br />C <br />everett PERMIT e <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Target: Stores 33 South Sixth Srrear Minneapolis, MN 55440 _ <br />ARCHITECTOR DESIGNER _ - MAILADDRESS CITY ZIP PHONE (612) 339-0313 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />M.A. Mortenson CompanV2 Post Office BOXJB67. Bellevue. WA 8009 ( 06) 822-7744 MAMORC190N6 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />MAIL ADDRESS <br />CITY <br />PHONE <br />CLASS OF WORK <br />IN NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORK (COST OF MATERIALS PLUS LABORI <br />$2.5 Million <br />r - P - - . Ml D-. - 4 1 V.-_J,t <br />USE OF BUILDING <br />Retail <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAMETO BETRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE. <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />XX <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW. OR ATTACH FOUR COPIES) <br />LOT_BLOCY OF <br />Submitted by Site Development Contractor <br />PROJECT ADDRESS Everett <br />Greentree Plaza , WA. <br />Everett Mall 6 7rdEverett Ma Avail <br />APPLICANTSCITY INESS LICENSE NO. <br />Not required per City Licensinp Department <br />PLUMBING <br />MECHANICAL <br />NO. <br />I TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS—H.P. EA. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS—H.P. EA, <br />LAVATORY (WASH BASIN( <br />BOILERS—H. P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />_ <br />DISHWASHER <br />WAIL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —ROOF DRAINS—RAINLEADERS�METAL <br />METAL FIREPLACE <br />FIREPLACE & CHIMNEVFIREPLACE & CHIMNEY <br />ETC' <br />—BAR, ETC. <br />WOODSTOVE/FIREPLACE INSERT <br />WOODSTOVE/FIREPLACE INSERT <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />_ <br />TOTAL FEE f <br />TOTAL FEE f <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />SIDE SETBACK I PLAN <br />-- -"-' <br />VACANTVTE <br />OYES ONO <br />-' <br />TYPE OF CONST. <br />/IJ <br />OCCUPANCYGROUF <br />3 1Z <br />NO. OF DWELLING UNITS <br />^ <br />BUILDING <br />SIZE OF SLOG. <br />NUMONGoUS <br />NO. OF STORIES <br />2 <br />MAIL OL�Cj GLOA�D1 <br />�O (�V <br />PLUMBING <br />_FIRE SPRINKLERS SPRINKLERS REQUIRED�YES ❑ NO❑ NO <br />MECHANICAL <br />APPLICATION ACC. BY PLANS CHECKED BY <br />I&L, <br />APPR. FOR ISSUANCE DY <br />L G <br />OTHER <br />PENALTY <br />TOTAL <br />ion 93Z <br />PLAN CNECK FEE <br />/S I RECEIPT NO. <br />FEES I VALUATION I FEE <br />