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i <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 FR!�M 8 AM TO 4 PM <br /> SITE ADDRESS 4387.P3b4��0��A�d'89#& PERMIT p <br /> 1806 Broadway, Everett ,_ _ _ �� �� (�-J(�l- ��3 <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISION7t <br /> DESC. <br /> OWNER AODRESS CITY2IP PHONE <br /> Balbir Singh 1806 Broadway Everett, WA (425) ?.52-9811 <br /> TENANTNAME CONTACTFORPERM�TBp��� ��'1i PHONE (425) 656-7448 <br /> Sd-�-133d=63-Ci��- ��� �� ,l.(�n� y����. navid Carroll 4a�.i5S� E-MNLdcarrol'_Gbarghausen.co�r <br /> �A7�A�'f -bT�TBD `� D73E Y/ <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Convenience Store _Electric _Gas_Other $50, 000. 00 <br /> WORK DESCRIPTION <br /> Work consist primarily or renovation of sales counter, interior rese:-oom <br /> access ADA improvements, and updating food service equipment . <br /> Pl.'JMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet NC-air handlmg units <br /> Balhtub :� Forced air systems <br /> � Lavatory(washbasin)RelocaedexieCing Gaspiping � <br /> = Shower / — Waterheater �:' <br /> Kitchen sink&disposal � _ Gas lireplace <br /> Dishwasher ��;w � Gas rangc <br /> Clolheswasher , � ti _ Clolhesdryer i � k�`� <br /> Walor heater � � �� Range hood i � <br /> � Sink(service/badmop%etcJR��o�.,c� N�� s��� �� T ExhausUan� _ _� T���= �\ �� <br /> _ Backllowpreventer _ Heatpump % \ <br /> Urinal Unit heater <br /> Drinking Founlam Boiler �� <br /> Floordrain % _ Relrigeratio � <br /> _ Grcasetrap% _ Woodstov <br /> Roof drai s� Other� <br /> _ Olhcr�_ _ <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 7105 <br /> I iiereby cerility ihat I have read and examined lhis application and know the same lo be true and correcL All provisions ot laws and <br /> ordinaces governing ihis rype of work ivill bo complied wilh whether specitied herein or not.The granling ol a permit does not presume <br /> lo give aulhoriry to violale or cancel ihe provision ol any other state or local law regulating conslruction or the performance of <br /> construCliOn.That I am authorized by ihe owner of thic property to pedonn Ihe work for which application is made and I corc�ply with the <br /> St te onlrac ors Law .27 CW and 296200 WAC. <br /> � is <br /> ig ature ol OwnenCoNractor/Authonzed Agent ate <br /> ��Z <br /> I __ <br />