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P�RMIT APPLICATI N <br /> CITY OF CVERETT PERMIT SERVICES <br /> �200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEp FROM 8 AM TO 4 PM ��� ��O 7 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT k <br /> 1715 Broadway, Everett, WA 00438235200300 6 100 �Q� - 3 � <br /> LEGAL LOT NO. BLOCK TRACT <br /> oESC. gee Le al Desc i tion Infor a[ion on Page l�l of Attached Plans. <br /> OWNER ADDRE33 CRYf'JP PMONE <br /> Safeway, Inc. MS112057, P.O. Rox 52142 Phoenix, AZ 85072 <br /> TENANTNAME CONTACTFORPERMR PHONE <br /> S�feway 110474 I Denise Reese 425-481-2266 <br /> CONTRACTOR ADDRESS CRVTP PHONE <br /> Johansen Mechanical, Inc. , 20109 144th Ave. N.E. , Idoodinville, WA 98072 (425)481-2266 <br /> CONTR.LICENSE M JOHANMI173PK <br /> USE OF BUILDING I — HEA'1 SOURCE CONTRACT PRICE OF WORK <br /> Grocery Commercial Retail 50,300,00 <br /> X Eleclnc X Gas Olher <br /> WORK DESCRIPTION <br /> Install 2 make-up air units, 2 s[ainless steel hoods and associated ductwork. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilot 2 AIC–alr handling unils <br /> 8athlub Forced air syslems <br /> Lavalory (wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Laundry tray 2 Range hood <br /> Sink(service/bai/mop/etc.) 2 Exhaust fan <br /> Backflow prevenler _ Heat pump <br /> Unnal Unit heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Refigeration <br /> Grease trap _ Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify ihat I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this lype o(work will be complied wilh whether specified herein or noL The granting of a pertnit dces not presume <br /> to give aulhority lo violate or cancel lhe provision of any other state or local iaw regulaling conslruction�r the pertortnance of <br /> construction. That I am authorized by the owner of this property to pertorm lhe vrork for which applicalion is made a�d I comply with the <br /> State�Gontractors Law 18.27 RCW aiid 296.200 WAC. /., <br /> ���� { , � 'LJ 3/c� � <br /> Sigqatur f OwnedContractor/Authonzed Agent Date � <br /> Z I <br />