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` � y ���i �0 6 <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 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PE&MIT# <br /> 2722 Colby Ave, Everett, ldA 0043916240170U ;� � -G, <br /> LEGAL LOTNO. BLOCN TRACT <br /> oesc. 17 thru 22 624 Gverett Plat <br /> OWNER AODRESS CITY2IP PHONE <br /> Gary Linden 1325 - 4th Ave, Sui.te 1500 Seattle, WA 98101 <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> Rainier Title Co. Gary Parkinson Ar.chitects 425-252-2153 <br /> Contact: Ryan Gllinghaus <br /> CONTRACI'OR ADORESS CITY2IP PHONE <br /> Gaffney Construction 10511 - 19th Ave. SL, Ste. C <br /> CONTR.LICENSE# Everett, [dA 98208 425-338-2114 <br /> USE OF BUILDING I — HEAT SOURCE _ CONTRACT PRICE OF WORK <br /> Office ElecMc X Gas_Other �n7�2'2� C0� <br /> WORK DESCRIPTION <br /> Demotion oP some existing walls in medical office bldg. Construct new walls, <br /> reception counter, 1-hour corridor walls Eor new office tenant space. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF PIXTURE OR ITEM N0. TYPE OF PIXTURE OR ITEM <br /> Toilel A1C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kltchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/barlmop/etc.) Exhaust fan <br /> BackOow preventer Heat pump <br /> Urmal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Re(rigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 <br /> I hereby ceritiy that I have read and examined this application and know the same to be true and cortecL All provisions of laws and <br /> ordinaces goveming this type of work will be wmplied with whether speafed herein or not.The granting of a permit does not presume <br /> to give authority to vio�ate or cance�the provision of any other state or lowl law regulating construction or the peAormance of <br /> construction. That I am authonzed by the ewner of this property ro per(orm the w�ork for which appliwtion is made and I comply with the <br /> State radors Law 18 7 FjC�pland 296.200 WAC. <br /> (� /� � <br /> ,z� ��� zr�- ,�-, � �i ?-�, <br /> S gn ture neu ontra Authoriz Agent Dat <br /> �I2 <br />