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■1iel <br />W lq VI <br />H O 0 <br />APPLICA tION FOR CONSTR6%'OTION <br />PERMIT <br />IAe Evergreen evelEU <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 TO BE COMPLETED IN INK— PLEASE PRINT <br />OWNER MAILADURESS CITY ZIP PHONE <br />WN <br />Everett Retail Limited Partnership 640 Pearson St. Des Plaines, IL 60016 (312)699-1100 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />C b S Cleaners <br />E11TECTOROESKINER MAILADDRESS CRY 21P PHONE <br />N/A <br />GENERAL CONTRACTOR MAILADDRESS GTY ZIP PHONE UOENSE• <br />HHJ Construction, Inc. PO Box 1008 Sumner, WA 98390 (206) 863-8126 <br />MECHANICAL CONTIMCIOR MAIL ADDRESS CITY ZIP PHONE LIOENSEF <br />Universal Refrigeration 1502 Pike St. NW N6 Auburn, WA 98001 (206)922-3141 <br />PLUMBINGCONTRACTOR MMLADDPE59 CRY ZIP PHONE LICENSE• <br />Cornell Plumbing 3210 S. Tacoma Way Tacoma, WA 98409 (206)473-7171 <br />CLASSOFWORK ,1 - rl RI III nINO RPI rX` TION <br />❑ NEW U ADDITION LB ALTERATION u HtrAIN u . <br />CONTACTPER ------- PHONE NO <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY �CT � <br />0(Za <br />Scott C. Seelye (HHJ Construction 863-8126) <br />CONTRACT PRICE OF WORK $32,000 <br />pESCRIBE WORN AND SQUARE FOOTAGE INVOLVED <br />GWB, Acoustical Ceiling Is Plumbing 1,320 sf <br />PROPOSED USE OF BUILDING <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAMEO BETRUE AND CORRECT ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIEOHEREIN OR NOT THEORANTINGOFA PERMIT DOES NOT <br />DESCRIPTION OF PPOPERIYISNOWN BELOW OR ATTACH FOUR COMES) <br />LEGAL <br />PRESAN UME TO GNE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISI ONS of <br />CONSTRU PER <br />E OR L LAW <br />TCONSTROUCiION. <br />LOT BLOCK— of <br />THATII AMIAUTHORIZTHE <br />ORMANCEOPE OFOTHER OF <br />ED BVIOTHE OWNN <br />ISER <br />MADE <br />PI L18270RCW <br />SEE ATTACHED <br />OMP YTWITH THE STATEWCONTRAC ORSHLAWMIC <br />AND <br />ANO COMPLY <br />296.200 WAG <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />6��a5 <br />A I TSCRY BUSINESS LICEN9 NO. AND BU NE59 Nr� E <br />TMiWECTADDRES3 <br />305 Everett May Way SE Suite 26 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />A/C— A/HNDLG UNITS— H.P. <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS—B.T.U. MEA <br />BATHTUB <br />UNIT HEATERS—STU. M <br />LAVATORY (WASH BASIN) <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK $ DISP. <br />DISHWASHER <br />RANGE HOOD <br />DRYTRAY <br />WATER HEATER <br />HES WASHER <br />WOOD STOVE <br />METAL FIREPLACE6 CHIMNEY <br />AL <br />INSERT <br />KING FOUNTAINFIREPLACE <br />J <br />R DRAIN <br />HEAT PUMP <br />FLOW PREVENTERS <br />GAS PIPING <br />F DRAINS— RAINLEADERS <br />EXHAUSTFAN <br />(SERVICE— BAR ETC) <br />SUBTOTAL $ <br />SUBTOTAL S <br />PERMIT S <br />PERMIT $ <br />FRONTSETBACK <br />TOTAL FEE <br />T$ <br />REAR SETBACK SIDESETBACK <br />TOTAL FEE $ <br />PLAN CHECK NUMBER FEE n;R RECE O.P <br />��� <br />3FEE <br />USE ZONE <br />C <br />LOT AREA <br />VACANTSITE <br />O YES S(NO <br />FFEE�ES <br />VALUATION <br />BUILDING <br />TYPEOF 00NST. CMIPANCYGROUP <br />NQOFOWELUNOUNITS <br />AL BLErAc AL -,Z <br />jiS R <br />PLUMBING <br />SIZEOF LD(i NO OF STORIES esrli. <br />aOLOAD <br />MECHANICAL <br />�' � <br />NEKSHT LIMITATION <br />OTHER <br />% <br />FIRE SPRINKLERS REQUIRED S ONO <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />PUBLICWORKS <br />APPLICATION ACC. BY PLANSAPPREY <br />11� ` <br />TOTAL <br />4' <br />K <br />