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the Evergreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 \ <br />APPLIC^TION FOR CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK — PLEASE PRINT <br />Art Wright/Washington Trucking 2810-34th Street Everett 259-5115 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />Phelps Tire 2810 ' _- 34th St., Everett WA 252-6161 <br />ARCHITECT OR DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br />GENERAL CONTRACTON <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE: <br />Doolittle <br />& Plumb Sign 5838 S. Adams <br />Tacoma <br />98409 <br />473-3323 <br />DOOLIPC18902 <br />MECHANICAL CONTRACTOR <br />MAIL ADD RESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />® NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELCCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY CONTACT PERSON AND PHONE NO <br />r,.....;a G.,f F./A 71-4477 <br />LONTRAGTFNICEu. WUHK yL Jvv. Vv <br />DESCRIBEWORKANDSOUAREFOOTAGEINVOLVED <br />Install 36 6 12 sq.ft. double faced si <br />�_.-�-- - ---- -- <br />ns and two poles, <br />PROPOSED USE OF BUILDING <br />Tire Sales <br />T <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIEU HEREIN OR NOT. THE. GRANTING OFA PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br />296.200 WAC. <br />SIGNATURE O' CONTRACTOR ON AUfHORIZED AGENT DATE <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK OF <br />See attached legal, description <br />PROJECT ADDRESS <br />2810%21— 34th St., Everett., <br />APPLICANTS CITY ROSINESS LIL NSE NO Ayy SI SNA V <br />Sign Hanger 1992 Uool the/Plumb Sign <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />A/C— A/HNDLG UNITS— H.P. <br />_ <br />BATHTUB <br />FORCED AIR S,'STEMS— B.T.U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />_ <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 6 DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE d CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK(SERVICE — BAR, EfC.) <br />— <br />— <br />SUBTOTAL $ <br />SUBTOTAL $ <br />PERMIT $ <br />_ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />FRONT SETBACK ' <br />i z _ <br />USEZONE <br />REAR SETBACK ' <br />It � <br />REA <br />. /A <br />(•C7 <br />SIDE SETBACK <br />Lbw <br />VACANT SITE <br />O YES jT'I�O <br />PLAN CHECK NUMBER <br />�, % l <br />FEES <br />FEE • � <br />VALUATION <br />RECEIPTNO. <br />L J/� <br />< <br />FEE <br />BUILDING <br />_ <br />n7 S OQ <br />00 <br />TYPE Of CORST. <br />ALLOWABLE/ACTUAL <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITB <br />PLUMBING <br />SIZE OF BLDG <br />NO.OFSTORIES <br />BSMT. <br />❑ Y <br />❑ N <br />OCC. LOAD <br />MECHANICAL <br />OTHER <br />FIRE SPP!NKLERS RCUUIRED ❑YES ❑ NO <br />HEIGHT LIMITATION <br />STATE BUILDING SURCHARGE <br />'e`O <br />APPLICATION ACC. BY PLANSAPP BI <br />j <br />STATE ENERGY SURCHARGE <br />_ <br />PUBLICWORKS <br />TOTAL <br />`T <br />