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APPLICATIk A FOR CONSTRUCT ON PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 E 259-8810 <br />I DEMOLITION I I COMBINATION I I BUILDING 11 MECHANICAL I PLUMBING F� SIG <br />PROJECT ADDRESS <br />1420 80111. S.W., SUITE B, EVERETT <br />OWNER MAIL ADDRESS dItl ZIP PHONE <br />SLF MANAGEMENT 10220 N.,E. POINTS DRIVE, SUITE 203, KIRKLAND 98033 889-0600 <br />TENANT MAIL ADORE SS CITY ZIP PHONE <br />NATURAL FACTORS 1420 BOTH ST. S.W., SUITE B, EVERETT <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />_ JOHN ABEL 4932 W. INTERURBAN BLVD., BOTHELL 98012 481-7669 <br />GENERAL CONTRACTOR MAIL ADDRESS CRY III' PHONE STATE LICENSEE <br />DPI, INC. 16038 BOIHELL WAY N.E., SEATTLE 98155 361-2989 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP 481-76't1(gNE J.STATELJGFJJ$E.1-N <br />_ JOHN J. ABEL FIRE PROTECTION CO..INC. 4932 W. INTERURBAN BLVD., BOTHELL 98012 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE <br />CONYRACT PRICE OF WORK <br />$575.00 <br />HEATING SYSTEM: I 1 GAS FI ELECTRIC F7 <br />_ <br />DESCFIBE WOFBLAND SQUARE FOOTAGE INVOLVED <br />MODIFY FIRE SPRINKLERS <br />CON'ACT PFRSON AND PHONE NO <br />CAREY MANNING (206) 481-7669 <br />1 HEREBY CERTIFY THAT I HAVE REF.) AND EXAMINED THI! <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALI <br />PROV SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OI <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Of <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVI <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AW <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THI <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THI <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICI <br />APPLICATION IS MADE AND I COMPLY WITH THE STATI <br />CONTRA17ORS LAW 10 27 RCW AND 296.200 WAC. <br />ell ge 8/ 1 1 /95 <br />PROPOSED USE OF BUR DING <br />RETAIL <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW On ATTACH TWO COPIF S) <br />LOT _ BLOCK OF <br />SEE ATTACHED SHEET <br />PARCEL TAX I D NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />R DATE <br />23078 <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL__ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C -- AMNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT °UMP <br />�— <br />H <br />SHOWER <br />' <br />UNIT HEATERS — U.T.U. M <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />' <br />_ <br />LAUNDRY TRAY <br />RANGE HOOD <br />; <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />; <br />SINK (SERVICE— BAR. ETC.) <br />GAS RANGE <br />' <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />I <br />L� n <br />SUBTOTAL S <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT S <br />I <br />TOTAL FEE Sl <br />TOTAL FEE $ <br />' <br />mp (1FFICF EICF ONI V• <br />FRONT SETBACK <br />REAR SETBACK <br />SIDF SETBACK <br />PLAN CHECK NUMBER <br />FEE .) _) <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT BITE <br />FEES <br />VALUATION <br />BUILDING <br />--FEES <br />�— <br />I <br />fIVF.S Fl NO <br />NEIG111 DMHATION <br />NO Of UWEI LINO <br />SHE Of BLDGT <br />I <br />UNITS <br />PLUMBING <br />OCCUPANCY I NO OF STORIES <br />OCCUPANTLOAD <br />BASEMENT <br />MECHANICAL <br />IIFL— <br />f1YE5 fl NO <br />ADDITIONAL PLAN CHECK <br />— <br />FIRLAIARMREO'D <br />REASON <br />OTHER <br />Q <br />C1( <br />FIRE SPRINKLEII PEOD <br />REASON <br />STATE BUILDING ISURC/LARGE <br />TYPE OF CONST <br />vuNs Arrnovto er <br />M <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WOPKS <br />H <br />uAII f' /•� ��"- <br />TAX CODE IS 3105 <br />TOTAL <br />01 <br />