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APPLICa i ION FOR CONSTRL .'TION <br /> PERMIT <br /> The Emumen rT.• II <br /> CIT <br /> everett <br /> 13 0 �I BUILDING DEPARTMENT <br /> F 259.8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> H <br /> OWNER MAIL AOORE59 oiv ---- PHONE <br /> H W KOHKOKU USA, INC. 1407 80th St. EveretL 98203 353-7000 <br /> TENANT MAIL ADDRESS PHONE <br /> y Same <br /> H W IKHITECTOROESIGNER MAILADDRESS -- — — p1Y ZIP PHONE <br /> 0 M0 Owner Same as above <br /> H It <br /> En H u[NERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> oMAIL H MECHANICAL CONtRACIOR ML ADDRESS ERT IIP PHONE LICENSE <br /> o H None <br /> Hg rWM&HO CANiRACiOR MML ADDRESS CITY IIP PHONE LICENSE <br /> 0- 0 Undecided <br /> H <br /> M 'Y CLASS Of NORM <br /> y Z NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPLINSERT ❑ BUILDING RELOCATION <br /> H H TENANT IMPROVEM ENI OR IN TERIOR REMODEL ONLY CONTACT PERSON AND PHONE NO <br /> 13,/ 4*1a �- Ted Becker <br /> n d TA CONTRACT PRICE NORM <br /> r DESCRIBE WORK AND BOUAPE FOOTAGE INVOLVED <br /> Frame building 4800 sq. ft. 353-7000 <br /> M PAOR09ED USE OF BUILDING <br /> 2 H N THEREBY CERTIFY THATI HAVE READ AND EXAMINED THIS APPLICATION AND <br /> H 0 W Drivin ran e, clubhouse KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> I FOAL DESCRIPTION Uf PROPERTY IBNOWN BELOW OR ATTACH POOR COMESORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THEGRANTINGOFAPERMITDOES NOT <br /> A Portion Of Sec11PRESUME TOOIVE AUTHORITY TOVIOLATE OR CANCEL THE PROVISIONS OF <br /> Im STOCK— . .OF ANYOTHERSTATE ORLOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> T.28N. ,11.4E.,W.M. The Easterly 640 Feet Of THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 9 And 16 Of The Plat Of Beverly <br /> 296 200 WAC, <br /> Tracts 1,8, SIGNATURE 0WAC,ONiRACORnNAUNN)RIZEOAGENT DME <br /> Berry Tracts Div. No. 2, ac <br /> s Recorded (see att ) X <br /> A - I �< I, L �iA (,_ l I /15/8X <br /> PROJECT ADDRE98 APPLICANTS CRY BU91N[59l ICEN9E NO AND BUSINESS NAME <br /> 1215 80th St. S.W. , Everett, WA 98203 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE 01:EQUIPMENT FEE <br /> WATER CLOSET(TOIL" AIC—A/HNOLG UNITS—HP <br /> BATHTUB FORCED AIR SYSTEMS—BTU. M EA <br /> I <br /> LAVATORY(WASH BASIN) UNIT HEATERS-BTU. M _ <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK B DISP, VENTILATION FAN — <br /> DISHWASHER RANGE HOOD <br /> .I I LAUNDRY TRAY WATER HEATER — <br /> CLOTHESWASHER _ WOOD STOVE <br /> '�T� URINAL _ __METAL FIREPLACE_A CHIMNEY <br /> ��� DRINKING FOUNTAIN ___ _FIREPLACE INSERT <br /> FLOOR DRAIN _ I HEAT PUMP <br /> BACKFLOW PREVENTERS 1 GAS PIPING <br /> � ROOF DRAINS-RAINLEADERS EYIIAUST FAN -- <br /> SINK(SERVICE—BAR,ETC) [[ <br /> SUBTOTAL f SUBTOTAL_-__ <br /> �r PERMIT B - PERMIT_ -____-_S - <br /> TOTAL FEE { TOTAL FEE S <br /> 0HON1 SETBACK REAR 5EIBACN SIDE SETBACK PLAN N! N11M010 rFE J REC[I NO <br /> 1501 1000' 5' And 240' G <br /> USE ZONE LOT AREA YACANTSGE FEES VALUATION FEE <br /> M-M 807757 sq. ft. X" O NO BUILDING <br /> TUY}P(EwOfWCOW --7 OLGUPANCYOROUP NO Of DWEIIINO UNRS -- - <br /> WOOaIT-FimO. V`� •g�z -0- PLUMBING <br /> SIZE OF BLDG NO W STORIES BSMT DEC LOAD <br /> MECHANICAL <br /> '4B,—X�- <br /> d uo SF v HE414TLIMITATON OTHER � i k ! l I I <br /> rInESPRINKLERS PEOUInE N S i'. NO 8' -- <br /> STATE BUILDING SURCHARGE ) <br /> 1T,. <br /> STATE ENERGY SURCHARGE <br /> APPLICATIONACCBY PLANSAPPp _ — <br /> (/// PUBLIC WORKS <br /> TOTAL <br /> A, <br />