1402 SE EVERETT MALL WAY EVERETT MALL EXPANSION 1987 SHELL 2018-01-02 MF Import

PPLICATION FO' CITY OFF ITY the O"° CONSTRUCTION everett PERMIT e BUILDING DEPARTMENT 259.8810 TO BE COMPLETED IN INK • PLEAS PRINT ❑ DEMOLITION ❑ COMBINATION ❑BUILDING , IC��1A ❑ PLUMBING ❑ SIGN OWN R •��-l.11 _1 � I. M'LADDRESS 7_ ��1!E�Ctfi�11Jfi( c•cti�4�� NE IP PHONEARCHITECT CR DESIGNER MAIL ADDRESS CITY i CONTRACTOR MAIL ADDRESS in rc v Iv TI r I CIF -yule, uow . lu.r , K� I�Ix1ut— �u —r c�� /�C_ ING CONt RACTOR MAIL ADDRESS Cln ZIP FOF WORK NEW ❑ ADDIT!ON ❑ ALTERATION Cl REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT ❑ BUILDWNG RELOCATION TION OF WORK ICOST OF MATERIALS PLUS LASORI 1 f USE UILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAMETO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE - IN OR NOT. THE GRANTJNG-SFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO -VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT@OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORIVAN E-0 CONSTRUCTION. SIGN F ACT/ U OORIIZZZEEDAGENNTT-p DATE /�•,S Q.� APPLICA YBUSINESS LICENSE NO Ojw LEGAL D.SCNPION OP -PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) LOT —BLOCK --OF PROJECT Ap�� / ��•- U 6re PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) A/C - A/HNDLG UNITS - H.P. BATHTUB REFRIGERATION UNITS - H.P EA. LAVATORY (WASH BASIN) BOILERS - B.T.U.IH. P. SHOWER GAS FIRED A,C. UNITS - B.T U. KITCHEN SINK A DISP. FORCED AIR SYSTEMS -B.T.U. M EA. DISHWASHER WALL HEATERS-B.T.U. M LAUNORY TRAY UNIT HEATERS - B.T.V. M CLOTHES WASHER EVAF ORATIVECOOLERS URINAL CLOTHESORYERS DRINKING FOUNTA'N VENTILATION FAN FLOOR ORAIN RANGE HOOD BACKFLOW PREVENTERS WATER HEATER ROOF ORAI.VS - RAINLEADERS WOOD STOVE SINK (SERVICE - BAR. ETC) METAL FIREPLACE A CHIMNEY FIREPLACE INSERT HEATPUMP GAS PIPING EXHAUSTFAN SUBTOTAL f SUBTOTAL PERMIT f PERMIT TOTAL FEE f TOTAL FEE S. F RONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. USE ZONE LOTAREA VACANT SITE DYES ONO FEES VALUATION FEE BUILDING S T TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS PLUMBING SIZE OF BLDO NO. OF STORIES MAX OCC. LOAD MECHANICAL FIRE SPRINKLERS REQUIRED O YES ❑ NO OTHEk STATE BUILDING SURCHARGE STATE ENERGY SURCHARGE APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY PUBLIC WORKS TOTAL PROPERTY OWNERS ARE RESPONSIBLE FOR DETEPIV INING ALL PROPERTY LINE LOI".'IONS AND RELATED EASEMENTS.