1402 SE EVERETT MALL WAY KINDERFOTO 2018-01-02 MF Import

APPLICATION FOR CONSTRUCTION PERMIT the EvergreenCITY IM10 OF everett BUILDING DEPARTMENT TO BE COMPLETED IN INK —PLEASE PRINT 259-6810 C DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL PLUMBING SIGN OWNER MAILADDRESS CITY Lifetouch Portrait Studios, Inc., 7831 Glenroy Road, ZIP PHONE #340, Minneapolis, MN 55438 (612) 832-4417 TENANT Kinderfoto, 7831 MAILADDRESS CITY CLenroy Road, #340, Minneapolis, MN ZIP PHONE 55438 (612) B32-4417 ARCHITECTOR DESIGNER MAILALIUMS CITY 10249 Yellow Circle Dr., ZIP PHONE 11220, Minnetonka, MN (612) 935-6337 Johnson, Sheldon & Sorensen, ZIP PHONE UCENSEe GENERAL CONTRACTOR MAILADORESSD G J�/fit 7 �`.� ,�-�E MECHANICALCONTRACTOR MAILADDRESS I_J CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAILAODRESS CRY ZIP PHONE LICENSER ]LASS OF WORK r7 WMt1RTnVF/FRPL INSERT C BUILDING RELOCATION A NEW L AUUIIIUN u mu-Q- v.. .. ... __..._ ._ TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY CONTACT PERSON AND PHONE NO. Peggy Pickerign (612) 832-4417 $21,000 CONTRACT PRICE OF WORN: DESCRIBE WORK AND SGUARE FOOTAGE INVOLVED Prefab Kiosk 200 sq. ft. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL Photographic Studio 0 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR LEO DEBCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE LOT BLOCK AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE Everett Mall PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH 1402 SE Everett Mall Way APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE Everett, WA 98208 Please see attached location plan. X 1 PROJECT ADDRESS APPLICANTS CITY BUSINESS LICENSE NO. AND BUSINESS --Mr PLUMBINGMECHANICAL FEE NO. TYPE OF EQUIPMENT FEE N0. TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) I A/C—A/HNDLG UNITS—H.P. ' FORCED AIR SYSTEMS—B.T.U. M E.A. BATHTUB LAVATORY (WASH BASIN) I UNIT HEATERS—B.T.U. M SHOWER ' CLOTHES DRYERS KITCHEN SINK & DISP VENTILATION FAN DISHWASHER RANGE HOOD LAUNDRYTRAY ; WATER HEATER CLOTHES WASHER WOOD STOVE —FIREPLACE METAL & CHIMNEY URINAL DRINKING FOUNTAIN , FIREPLACE INSERT FLOOR DRAIN I HEAT PUMP BACKFLOW PREVENTERS ' GAS PIPING ROOF DRAINS—RAINLEADERS I EXHAUST FAN SINK (SERVICE —BAR, ETC.) , , , SUBTOTAL $ ; SUBTOTAL $ —"' PERMIT $ I PERMIT $ TOTAL FEE $ TOTAL FEE $ ' FRONT SETBACK REAR SETBACK BIDE SETEPTNO BACK C CN NUMBER F� LD"RMR� USEZONE LOTAREA VACANTSITE FEES VA❑ YES b<NO BUILDINGT/PE PLUMBINGSIZE OE CD75�-=IOWABIE fU TYPE0 C T. AC111AL/ � �- OF BLDG. NO.OF STORIES BASEMENT MECHANICAL OTHER ' ❑ YES (NO OCCUPANCY LOAD FIRE SPRNKLERS REOD 'YES HEIG LIMITATION ' ❑ NO /V STATE BUILDING SURCHARGE REASON FOR SPRINKLERS STATE ENERGY SURCHARGE APPLIC•1T1 CC. BY PLANS APPR0 EDGY CITY OF EVERETT LOCAL SALES PUBLIC WORKS �� TAX CODE IS 3105 TorAL