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I�cRMIT APPLICAT'�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.M P MI7 k <br /> 2812 r,plby Avenue 00439166802100 <br /> IEGA LOT NO. BLOCK THACT <br /> oesc. 21 668 D-00 LWerett Plat <br /> OWNER ADDRESS <br /> ZIP PNONE <br /> Gary Parkinson 7507 192rd P1 NE Arlington, WA 98223 (425) 252-2153 <br /> TENANTNAME CONTACTNAME PHONE <br /> Gary Parkinson Architects I Gary Parkinson (425) 252-2153 <br /> CONTRACTOR qDORESS LP CONTR.LICENSEN <br /> Gaffney Construction 10511 19th Avenue SE Ste C �1+erett 98208 GAFENCI104K3 <br /> PHONE <br /> (425) 338-2114 <br /> PROPOSED USE OF BUILDING x Building D Mechanical Addition HEAT SOURCE <br /> PERMIT R Combination U Plum6ing WORK � Alterntion � Electric <br /> Office Building 7ypE D Demolition U Sign TYPE New Gas <br /> � U Sprinkler RepaidMaini. O�her <br /> CONTRACT PpICE OF WORK �39,500.00 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> Repair damaged storefront. <br /> PLUMBING MECHANICAL <br /> i NG. TYPE OF FIXTURE OR REM N0. TYPE OF FIXTUHE OR ITEM <br /> � _ WATER CLOSET _ A!C—A/HANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATER,q <br />, � __ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br /> _ DISHWASHER _ RANGF HOO� <br /> _ LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> I _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTA�N _ GAS FIFEPLACE <br /> ! _ FLOOR DRAIN _ GAS RANGE <br /> I _ BACKF�OW PREVENTER _ GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/[TC.) _ EXHAUST FAN <br /> I _ OTHER _ OTHER <br /> i — <br /> I 1 HEREBY CERITIFY THAT I HAVE REAO AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND COPRECT. AlL <br /> IPROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH <br /> NOT. THE GRANTING OF A PEPMIT OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY OTNER <br /> , STATE OR LOCdI�eW REG ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> � OWNER 0 i IS PRO T P RFORM THE WOflK FOR WHICH APPUCATION IS MADE AND I COFiPLY WITH THE STATE <br /> . CONTRA O L/A 18. 7 N ND 296200 WAC. <br /> S lu -0wne i ontractor/Authorize�t pa e�� <br /> I �� <br />����—n <br />