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) <br />_ -�?���iS - Ca�i, �c 1�1� <br />P�:��lilT �►PP'LlCATION <br />CITV OF EV�RETf PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 9&201 <br />425-257-5810 - FAX 425-257-9857 - www.everettwa.ory <br />,';P?LI;,ATIONS ARE ACCtPTED FROM 8 AM TO 4 PM <br />SITE AODF:E58 <br />54U G'�er�,reeu :. . .�_r_[t: <br />LEGA L07 PJO. � i BLOCIC <br />PARCEL TAX I.D. f� <br />28041300103700 <br />4�aY��� <br />,� A I�U�'_ U � <br />� �r �i <br />PERMIT# <br />-'�31 <br />TRACT OFi SUBDIVISION q � <br />Lot 2 City of CvereCt BLA 06-011 APN 200702215004 <br />nnnor.cc � CITVOIP PHnNF <br />AUen & Sharon }lemmaC 21301 Tvee Rd Mt. Vernon, ldA 98274 425 387-7338 <br />TENANTNAME CONTACTFORPER�diT PHONE 423-348-7L00 <br />..,__ _.. .,��, .,,.,..m., r,,..�,,. Sohn Mthony, Community Transi���'�lin.anthony@comm[rans. <br />'f BD <br />CONTR. LICENSF q <br />USE OF BUILDING <br />Bus Shelter <br />WORK DESCRIPTIOH <br />install raised <br />structure and <br />HEATSOUHCE <br />Eleclric _ Gas � Other N/A <br />CONTRACT PRICE OF WORK <br />k �i�rl -)i'� � <br />Remove exiscing pavement and exiscin� site improvements as necessary, <br />transit platform, install necessary infrastructure, erect shelter <br />install needed amenities. <br />NO. I TYPE OF FlXTIIRE OR ITEh1 <br />Toilet <br />Balhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />SinR (servicelbadmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Greasetrap <br />Roof drains <br />Olher <br />NO. I TYPE OF FlXTURE OFi ITEM <br />NC —air handling units <br />Forced air syslems <br />Gas pipir�g <br />Water he�ler <br />Gas Iireplace <br />Gas ranpe <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />woodstove <br />CITY OF EVERETT LOCAL SALES T!il( COOE IS 3105 <br />I hereby cerilify that I have read and examined Ihis application and know the same to be true and correcL All provisions of laws ard <br />ordinaces governing this type ol work will be complied wilh whether specified herein or nol. The granling of a permil does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulaling construction or the pedormance of <br />consimction.l That lam authorized by the,owner of this property to perform the work lor which applicatiun is made and I compiy with the <br />c�..�„ r,...�.'F��.dliaw ta 9TFiCW and29G200 WAC. /1 <br />1Co S' <br />Dale �I L� <br />�rg <br />