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L <br />the Evergreen <br />CITY OF <br />everett <br />BUILDING DEPT. <br />255.8745 <br />-APPLICATION Fief <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />❑ COMBINATION ® BUILDING ❑ MECHANICAL <br />everen <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />John B. Schack <br />1028 W. <br />MAIL ADDRESS <br />Marine View <br />CITY <br />Dr., Everett <br />ZIP <br />98201 <br />PHONE <br />339-2500 <br />ARBfn KCttMt�9MIKREngineer <br />Cornelis D. Vanden Ende, <br />MAILADOREUS <br />5630 198th <br />CITY <br />St.S.W., Lynnwood <br />ZIP <br />98036 <br />PHONE <br />775-7434 <br />C-445 <br />GENERAL CONTRACTOR <br />MAILAODnESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Norm Anderson, <br />P.O. Box 68, <br />Marysville <br />98270 <br />659-1131 ADER <br />NR 341 B U <br />MCGHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CJV <br />ZIP <br />PHONE <br />LICENSE. <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />CLA55 GF Wulm <br />® NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ [WILDING RELOCATION <br />VALUATION OF WOnKICOST OF MATEHIAL5 PLUS.ABORI <br />$400,000.00 - <br />DESCRIBE WORK <br />HUFF IIIC La VUI IUI I <br />USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />Light (Manufacturing & warehouse <br />PLICATION AND KNOWTHE SAMETO BE TRUEAND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />LEGAL DLSCnIPT10N OF PROPERTY(SHOWN BELOW On ATTACH FOUR COPIES) <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />LOT_BLOCK--OF <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE 0- CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />See attached <br />OR THE PERFORMANCE OF CONSTRUCTION. {/y <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE /Q // <br />John hac j_ <br />X By gent <br />PnOJEC1ADDRESs <br />_ <br />APPLICANTBCITY BUSINESS LICE O. 9M�Y <br />1028 W. Marine View Dr. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EGUIPMENT <br />FEE — <br />�%— <br />WATER CLOSET (TOILET) <br />a CU <br />AIR COND. UNITS—H.P. EA. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS—H.P. EA <br />LAVATORY (WASH BASIN( <br />BOILERS—H.P. EA <br />SHOWER <br />_- <br />GAS FIRED A.C. UNITS —TONNAGE EA <br />KITCHEN SINK& DISP. <br />_ <br />FORCED AIR SYSTEMS—B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. rA <br />LAUNDRYTRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />_ <br />EVAPORATIVE COCLERS <br />f <br />WATER HEATER <br />U <br />CLOTHES DRYERS <br />/' <br />�✓ <br />IN <br />URAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANG:- HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS—RAINLEADERS <br />METAL FIREPLACE& CHIMNEY <br />SINK (SERVICE —BAR, ETC.) <br />WOODSTOVJ'IREPLACE INSERT <br />SUBTOTAL <br />SUBTOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE III0, <br />TOTALFEE f <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />FRONT SETBACK <br />7`D <br />REAR SETBACK <br />6 <br />SIDE SEIBCK <br />c '^"`^ <br />J y 13 / <br />/ J <br />FEE i, i l <br />/- Q� <br />RECEIPJ 02 <br />USE ZONE <br />LOTAnEA / <br />VACANT SITE <br />OYES MIND <br />FEES <br />VALUATION <br />FEE <br />TYPE OFF 7C'ONSF <br />OCCUUPALNCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />52E OF BLOG. <br />NO. OF BL/RIES <br />MAX O /. LOAD <br />PLUMBING <br />MECHANICAL <br />FIRE SPRI14KLEHS REOUI RED .YES ❑ NO <br />OTHER <br />PENALTY <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPG. FOR ISSUANCE BY <br />TOTAL <br />I <br />4a'0�lfJ <br />1 <br />