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P�RMIT APPLICATIQTV <br />CITY OF EVERETT PERMIT SERVIGES <br />324t} G�DAR STREET, EVERETT, WA 98201 <br />42�-257-8810 — FAX 42�-257-8857 — www.e�erettwa.org <br />APPLICATIQNS ARE ACGEPTED FROM 8 AM TO 4 PM - DEBIT 8 CR�Dii CAF2DS ARE 1�lOT ACCEPTEI� <br />SITE ADDRESS <br />1800 41st Street <br />LEGAL LDT NO. <br />o�sc. see attached <br />OWNER <br />1800 41 S` Street, LLC <br />7ENAtJT NAME <br />J > �T' <br />r f UG � <br />BLOCK <br />F'ARCEL TAX I.D. # <br />00582101700200,00582201900100 <br />rtzAcr <br />AUUKtJJ L;1 IYILIY <br />5505 South Upland Rd, Seattle, WA 98ll8 <br />CONTACT FQR P�RMtT <br />Frontier Communications � Kord S Kurisu / Architect <br />CC7NTRAC70R , � .ADDRESS <br />� _'rt o��'y i:S� � � i i �C ►,.�,� ,;, � �h��� <br />� <br />CONTR. LI�ENSE# `��'�����P�'�� <br />f,)���� -- _ ,u^1-� -_ ,.J .:� <br />USE QF BUILDING � HEAT 50UF2CE <br />General Office Space <br />WOi2K bESCRiPTIC1N <br />Elcctric Gas Other <br />PERMIT # <br />� <br />1'7�3�'�� - %� ���' <br />PH011E <br />425 870-0368 <br />CIiY1ZIP P}iON� <br />;:� , �, r - -� . ` _. <br />� �-'>' >;_ ��� <br />I C�NTRACT PRICE OF WORK <br />i $18,000.00 <br />Alterations to approx. 1,100 s.f. to provide a new Lunch Room Area, including new shee�=vi�y�--�lo�xi��.. <br />susp. acoustic ceiling system, ��i�e�s-�-Ee�uter.to,ps, <br />NO. <br />r �v ivi <br />TYPE OF FIX7URE QR ITEM <br />Toflet <br />Baihtub <br />Lavatory {wash basin) <br />Shr}wer <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (serviceibarlmppletc_) <br />Bachflow preven#er <br />l�rinal <br />❑rinking Fountair� <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />�i� <br />�CHANICAL <br />TYPE OF F1xTURE OR lTEM <br />AIC — air handling units <br />Forced �ir systems <br />Gas piping <br />i Water heater <br />I G�s fireplace <br />�, Gas range <br />I C�othes dryer <br />I Range hood <br />�xhaustfan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY pF EVERE7T LOCAL 5ALE5 TAX CODE [S 3105 <br />I hereby ceritiiy that I have read and examined tf�is application and know the same to be t�-ue and correct. All provisions of laws and <br />ordlnaces governing this type af wr.,rEc wiN be complied with whether specified herein or not. The grar�ting of a perEnit does not presume <br />to give authority ta violate or �ancel the provision of any other state or local law regulaEing construction or the performance of <br />constructian. 7hat l am authorized by the owner of ihis property to perfarm the work far which application is made and I comply with the <br />Sfaie Contractors Law 18.27 ftCW and 296.200 WAC. <br />.+/� /`l ;/ .-� , <br />Z <br />re af Owner/Co <br />a <br />