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SITE ADDRESS <br />8410 Gver�re <br />LEGA LOT N0. <br />DESC. <br />-4� ::'�����c —('(( �1tlU �J <br />PtRMIT APPLICATION <br />CITY OF EVERE'iT PERNlIT SERVICES �I �a`�I �I <br />3200 CEDAR STREET, EVERETT, WA 9.9201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Pb1 <br />, Everett <br />BLOCK <br />PAflCEL TAX I.D. # <br />28041300101500 <br />TRACT OR SUBOIVISION q <br />Aman's ITf, LI.0 8402 Bvergreen �a�y, i:verett, WA 98208 425-348-4034 <br />D$U �i-� � �O <br />PERMIT# <br />TENANT NAME I CONTACT FOR PERh11T PHONE <br />423-348-7100 I <br />Chevron John Anthon}', Community TransitE�Ln.anthony@commtrans.qrg <br />CO TRACTOR A DR SS C 21 p 0 E I <br />'PBll <br />CONTR. LICENSE # <br />USE OF BUILDING <br />Bus Shelter <br />WORK DESCRIPTION <br />HEATSOURCE <br />Electric _Gas,� Other N/A <br />CONTRACT PRICE OF WORK <br />�'Z�-�I,���1� <br />Remove existing pavement and exis[inF site improvements as necessary, <br />install raised Cransit p1aCPorm, install necessary infrastructure, erect shelter <br />structure and install needed amenities. <br />NO. I IYPE OF FlXTURE OR ITEM <br />Toilel <br />Balh�ub <br />Lavatory (wash basin) <br />Shower <br />Kilchen slnk & disposal <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (servicelhadmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fuun�ain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVEflE7T LOCAL SALES TAX CODE IS 3705 <br />I hereby cerilify lhat I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces goveming ihis rype o( work will b^ complied with whether specified herein or nol The granling of a permit does not presume <br />to give authorily to violate or cancel the provision of any other slale or local law regulaling construction or Ihe pedormance of <br />construction. Thal 1 am aulhorjzQd by, he owner of this property to pertorm the work for which application is made and I comply with the <br />Slate,Conlractof5'La�v 18.2�'fi�VJ�9b.200 WAC. �� <br />��. <br />,r� <br />