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APPLICATICO7 FOR CONSTRUCT'7N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: 56GAS ❑ ELECTRIC ❑ <br />259.8810 <br />❑ DEMOLITION <br />❑ COMBINATION <br />❑ BUILDING <br />❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Brand —Broadway <br />c/o N. Karno 16255 <br />Ventura Blvd. Encino, CA 91436 341-4888 <br />TENANT <br />Silo, <br />MAIL ADDRESS CITY <br />6900 Lindbergh Blvd. Philadelphia, <br />ZIP PHONE <br />PA 19142 492-700 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />MAILADDRESS <br />CITY LIT, <br />CITY <br />YHUNt <br />0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE# <br />CONTRACT PRICE OF WORK <br />Estimated: $150,000 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO. <br />I 2 <br />q <br />Interior Remodel <br />Consisting of Approximately 18,000 S.F. <br />I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS IYPE OF <br />WORK WILL BE COMPLETED WITH WHE",HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DJES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />PROPOSED USE OF BUILDING <br />Retail Store <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN 8ELOWOR ATTACH TWO COPIES) <br />LOT BLOCK OF <br />PARCEL TAX I.D. NUMBER <br />182805-3-074-0008 <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />PROJECT ADDRESS <br />S E Everett Mall W <br />SIGNATURE DATE811 <br />CITYBUSINESSLICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />/ <br />WATER CLOSET (TOILET) <br />/ <br />A/C-AIHNDLG UNITS-H.P. <br />ATHTUB <br />; <br />- <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />L ATORY (WASH BASIN) <br />-�- <br />- <br />U HEATERS-B.T.U. M <br />- <br />SHO ER <br />CLOT SDRYERS <br />' <br />KITCH SINK & DISP <br />/ <br />VENT! ON FAN <br />T <br />DISHWAS R <br />- <br />RANGE HO <br />_ <br />LAUNDRY TRY <br />- <br />WATER HEATE <br />-- <br />CLOTHES WAS R <br />I <br />- <br />WOOD gTOVE <br />URINAL <br />; <br />- <br />METAL FIREPLACE ( OD BURNING) <br />DRINKING FOUNTAI <br />- <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />' <br />HEAT PUMP <br />- <br />BACKFLOW PREVENTERS <br />�. <br />GAS PIPING <br />- - <br />ROOF DRAINS-RAINLEADE <br />- <br />EXHAUST FAN <br />SINK (SERVICE -BAR, ETC.) <br />- <br />I <br />SUBTOTAL $ <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />FRONTSETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE 20NE <br />LOT AREA <br />VACANT SITE <br />XNO <br />FEES <br />VALUATION <br />FEE <br />yy11 <br />Cat <br />❑ YES <br />BUILDING <br />PLUMBING <br />I <br />TYPE Of CONST. <br />/ <br />NO. OF STORIES <br />KCUPMIC <br />GNZ <br />NO.OF OWFIIIxG UNITS <br />Y)f <br />/ <br />SIZE OF BLDG. <br />FIRE SPRINKLERS REGO <br />LJ�'t<'f <br />BASEMENT <br />[I YES i)< NO <br />MECHANICAL <br />- <br />ADDITIONAL PLAN CHECK <br />.� T.I. <br />OCEr2?7 <br />LOAD <br />FIRE ALARM REO'D <br />HEIGHT LIN41TATION <br />OTHER <br />' <br />rUP�ANCyY <br />/v <br />REASON 1 �We, / 4��\ <br />C J <br />STATE BUILDING SURCHARGE <br />I -� <br />INTAKE BY PLANS APPROVED BY CITY OF EVERETT <br />PUBLIC WORKS <br />JM LOCAL SALES <br />DATE Z9 3 TAX CODE IS 3105 <br />TOTAL <br />7 <br />