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the <br />E"� o C^NSTRUCTION S <br />wverett PERMIT <br />259-8745 <br />PERMIT NO. 17964 <br />❑ DEMOLITION ❑ COMBINATION ® BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Roebling Management <br />Everett Mall Everett Mall <br />Way Everett, <br />WA <br />98204 335-5444 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Douglas Mulvanny Arch. <br />12200 Northrup Way Bellevue, <br />WA 98005 <br />881-7600 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Frontier Construction <br />19105 36th Ave W Suite 101 <br />Lynnwood, WA 98036 <br />774-2945 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />FRONTCC148JW <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE) <br />❑ NEW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATIONVALUATION OF WORK <br />$ 3,000.000. <br />Adding addition between the Bon & Sears <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Retail <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE F C N R TOR. AUTHORIZED AGENT. OR OWNER DATE <br />X /�7 ` 7-/-i-S7 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOUR COPIES) <br />LOT __ BLOCK s OF <br />xsyb <br />JOB ADDRESS /fSA 1402 <br />201 SE Everett Mall Way <br />PLUMBING <br />MECHANICA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />YPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HN G UNITS - H.P. <br />BATHTUB <br />REFRIGERA ION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - B.T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS - B.T.U. <br />_ <br />KITCHEN SINK B DISP. <br />FORCED AIR SYSTEMS-B.T.U. MEA, <br />DISHWASHER <br />WALI HEATERS-B.T.U. M <br />a <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />HOOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE -BAR, ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />{ [ A -1 'r". <br />T TI 11 P <br />SUB TOTAL <br />S <br />SUB <br />PERMIT <br />S <br />PERMIT S <br />TOTALFEE <br />S <br />TOTALFEE <br />FRONT SETBACK <br />NA <br />REAR SETBACK <br />NA <br />SIDE SETBACK <br />NA <br />PLAN CHECK NUMBER <br />87/17964 <br />FEE <br />4900.68 <br />RECEIPT NO. <br />89573 <br />USEZONE <br />C-1 <br />LO f AREA <br />NA <br />VACANT SITE <br />OYES RNO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$3,000,000 <br />7539 <br />50 <br />TYPE OF CONST. <br />III-N Sprinkler <br />OCCUPANCY GROUP <br />d B-2 <br />NO OF DWELLING UNITS <br />0 <br />PLUMBING <br />1 11, 5.��— <br />SIZE OF BLDG. <br />49,999 <br />NO. OF STORIES <br />1 <br />MAX.000. LOAD <br />1667 <br />. <br />MECHANICAL <br />1400090412 <br />'IRE SPRINKLERS REQUIRED [f3 YES ❑ NO <br />INVESTIGATION FEE <br />- ♦D <br />L1`,a"ell <br />,. uD <br />STATE BUILDING SURCHARGE <br />DPT.20 :61U. <br />S2 3 <br />50 <br />STATE ENFRGY SURCHARGE <br />U GOC D <br />qFUFR 3 <br />'1 <br />APPLICATION ACC. BY <br />L,C. <br />PLANS CHECKED BY <br />Be <br />APPR. FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />1171-5 $651 <br />:.02 <br />TOTAL <br />JVVJTV <br />,G-, 41 , <br />7543 <br />0 <br />CRRWT VAI InATInM <br />SEPARATE PLUMBING, MECHANICAL AND ELECTRICAL <br />PERMITS ARE REQUIRED. <br />WHEN PROPERLY VALIDATED (IN T-HIS'S'aACE1�Y11S�,y YffR PERMIT <br />B SRCH / $3.50 CD <br />*CU Cn <br />ADDRESS FILE <br />