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SITE AD7RESS <br />281J Wetmore Ave <br />LEGAL LOT NO. <br />oesc. q <br />Ra,s Miller <br />TENANTNAME <br />Same <br />CONTRACTOR <br />��O U� jll.Cj <br />CONTR. LICENSE N <br />USE OF BUILDING <br />OfEices <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM �"(7 �-O7 <br />BLOCK <br />666 <br />PARCEL TAX I.D. � <br />00607066600100 <br />TRACT <br />2828 ColUy Ave Ste A02 <br />ICONTACTFOR PERMIT <br />Gar.y Parkinson <br />ADDRESS <br />HEATSOURCE <br />PnERMIT K <br />ll �7 U��� � <br />ciTvrziP PMONE <br />Gver.ett 98201(425) 7.59-1841 <br />PHONE <br />(425) %52-2153 <br />CITY2IP PHONE <br />CONTRACT PRICE OF WORK <br />_Electric _Gas_Oiher $30,000 <br />WORK DESCRIPTION <br />This project creates a 1.eRa1 Chree story exit enclosure as requested Uy Uuilding <br />oEEicials, as wel.l as create two new ofEices and conEerence room in the bas�nent <br />wiCh a new U�sem�nt exit Co Che aliey. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CO�E IS 7105 <br />I hereby ceritiry that I have read and ezamined this application and know the same to be true and cortect. All provisions of laws and <br />ordinaces goveming this type ol work will be complied with whether specl' c�d herein or not. The grenting of a permit dces not presume <br />lo give authonty to violate or cancel the provision of any other state or loca� law reguiating construction or lhe perfortnance of <br />construction. That I am aulhorized by the owner of this property to pedortn lhe work for which application is made and I comply with the <br />State Contractors Law,1827�RCW and 296200 WAC. ,/ ^� ,.�- 7 <br />�1 r-�r— , � ; I �: ..: % <br />. _,,��� <br />Sgn9ture o( Owned ontracMrlAuthonzed Agenl Date I/ <br />IU <br />