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APPLICATI& FOR CONSTRUCI%N PERMIT <br />CITY OF EVERETT A BUILDING DIV'SION <br />3200 CEDAR STREET • EVERETT, WA 982J1 • 257-8810 <br />Fl DEMOLITION n COMBINATION <br />PROJECTADDRESS <br />% BUILDING ❑ MECHANICAL ❑ PLUMBING G SIGN <br />3927 Rucker Ave. Everett, WA 98201 <br />➢M(R M+R+DORCSS CITY $R P1UNE <br />The Everett Clinic 3901 Novt Ave. Evnr.rr 9112n1 625_2Ro_naAA <br />N/A <br />Architectural Werks, Inc. <br />11335 NE 122nd Way Suite 140 Kirkland, WA 9RO34 <br />425-R21-2266 <br />GEIERµ CCAORACTOR <br />MAIL AOgRSS <br />CITY zP %CHE <br />STATE LICENSE <br />Kirtley Cole <br />1002 10th St. Snohomish WA 98290 360-568-3175 <br />cC01 KIRTLCA272RF <br />MECRANCAL rO TpAcTOR <br />MAIL ADMFSS <br />CITY M PN� <br />STATF LSE . <br />to be determined <br />PLTI CONTRACTCR <br />MAILI ,.AESS <br />CITY nA AIO <br />STATE LICENSE <br />N/A <br />CONTRACT PRCE OF WOMx <br />1350.000. <br />HEATING SYSTEM: Fj GAS <br />❑ELECTRIC G <br />MSCIUBE KCIIA AM S. UARE FOOTAGE IWOLVED <br />1,990 of Tenant ImprovementImprovementp including minor <br />CONTACT PERSON AND haM NO <br />Jeff Clark <br />structural modifications, non -hearing partition;, <br />ceiling, Flooring, wall finishes, mechanical an <br />e 1 ec trf ➢a l <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF V WS AND ORDINANCES GOVERNING THIS TYPF OF <br />WORK WILL BE CUMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUV4 TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEPF09MANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 70 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRALTO 6lA T RCW AND 2%200 WAC. <br />l ,o <br />X <br />PROPOSED USE LN BUILDING <br />Medical Clinic <br />LEGAL NSCRNTION OF F g Rn(SHCI BELOW OR ATTACH Iv.➢COPIESI <br />LOT MOCA v <br />see attachment <br />PANEL TAI ID NUMBER <br />41J3-rm raol <br />CONSIPUCIKNI LOAN IE'IMR, AppRCSSPNCN . LEIEE NUMB!R <br />self - financed <br />s`PI+ 624 DATE <br />-- <br />cl Bus ustl LKENSE,a <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />AC —AHNDLG UNITS <br />FEE <br />BATNTI'B <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PLIMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />�— <br />— <br />CLOTHES WASHER <br />WOUD STOVE <br />_ <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNINGI <br />_ <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.I <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />i <br />SUBTOTAL S <br />SUBTOTAL S <br />_ <br />PERMIT S <br />PERMIT S <br />_ <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />:Rpa SETBACK <br />PEAR SETBACK <br />SIN SETBACK <br />R+ NECMMJMtlCR FLE <br />RECEIPTW <br />I <br />USE ZONE <br />LOT ARE <br />v+tANT SITE <br />I VALUATION <br />FEE <br />CY[B a <br />BUBDIMG <br />HEIGHT LIMITATION <br />ME O'O.YELLWa <br />BlWT1 <br />9IEOFUNITS <br />9 D <br />MUYBING <br />OCCUPWCV <br />G <br />MCF STOKES <br />AV <br />OCCUP.WT LOAD <br />/. 9 J <br />BASEMEMN <br />1 I1 YET; m No <br />uCC'MNCµ <br />+WR EN. PLAN CHECK <br />RPE SPPIMSj RWD <br />HE+SO/N <br />S <br />C 4 ST 6• <br />OTN[R <br />FIFE ALAP411[➢r➢ <br />/Gs <br />PL+SONf( `' ( <br />/-XJT6 <br />S1An BV0.pMG 5URCNu1GE <br />TYPE I CONST <br />R <br />PANSAPPPOA Br <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIO WrnILs <br />TOTAL <br />- F. , <br />o.n <br />TAX CODES 3105 <br />