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�`RMIT APPLICATI�rN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR �TREET, EVERETT, WA 98201 7��.6 �O 6 <br /> 425-257-8810— FAX 425-257-8857--wwv✓.everettw�.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .—Q�J--�d,_- -�y <br /> SITE ADDRESS <br /> PARCEL TnX I.D.# PERM(T# � <br /> I:' �2 Evergreen Way 200410195003 � U � ��� <br /> LEGA LOT NO. BLOCK 7RACT ' � .� <br /> DESC. C Wal-Mart CityofEverett Bindin SitePl:mNo. 906-__. ... . - <br /> , S - __ <br /> OWNER � ADDRESS CITY/ZIP PHONE <br /> �, � S�iI� $�$-«-R]VC � � �;t �as�3-Ai�P�-9�A�— ��F� / <br /> �Jv'C��i�2� ( LC /2iS�nP['nrrdc-Sunt�6 ior �..�rf�e �✓A �i' <br /> 7' <br /> TENANT NAME I CONTACT FAR P RMIT PHO E <br /> �p-��y�vv��.,..�._ z� a a - �a.�co <br /> N/A . �cn��noo ncnn <br /> -Fred-R4ark ��� <br /> CONTRACTOR ADDRESS CITY2IP� PHONE <br /> Par.co Constn�ction, Inc. 7903 L.Broadway Ave. Spokan Valley,WA 99213 (SG9)922-0600 <br /> CONTR.LICENSE# � ��L,� ��/� a.� �'� 5-�C�� C��1 � �7 <br /> 1 l�'� 71� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Commercial(Retail) __Electric X Gas_Other I $825,000.00 <br /> WORK DESCRIPTION �1,000 SP Commercial(Retail)constructed of concrete foundations&floor, concrete block <br /> walls, steel beams,steel joist, steel deck, membrane roof, aluminum frame&glass stcre front, <br /> metal sh�d&drywall interior walls, acoustical ceilings,plumbing,HVAC, fire�prinklers& <br /> electrical. <br /> PLUMBING MECHANICAL <br /> ryp, 1YpE OF'FIXTURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> 8 Toilet A/C-air handling units <br /> O Balhtub � Forcedairsystems <br /> � Lavatory(wash basin) �_ Gas piping (1 to property& S to RTU's) <br /> � Shower U Water heater <br /> O Kitchen sink&disposal O Gas fireplace , � A <br /> g �` ti,L��� <br /> O Dishwasher t'� Gas ran e �J <br /> O Clothes washer O Ciothes dryer <br /> � Waterhealer(�nsta-hots) O Rangehood C��� •% <br /> O Sink(service/badmop/etc.) 8 Exhaust fan ��� �(� <br /> �_ Backflow preventer O Heat pump <br /> i O Unit heater 7�� '� ���' <br /> O Urina Q Boiler ����J ��d �d <br /> O Drinking Fowitain (, s <br /> I Floor drain Q Refrigeration �[J <br /> I S� Grease trap �_ Woodstove <br /> 3 Roof drains ,� Other <br /> U Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and ccrrecL All provisions of laws and <br /> ordinaces gcvrrning this type of work will be complied with whether specified hzrein or not.The granting of a pertnit does not presume <br /> to give authority lo violale or cance� tf�e provision of any other sta!e or local faw reguialing construction or the performance of <br /> construction.Ti�at I am authorized 'uy the owner of this property to perform the work for which apr'ication is made and I comply with the <br /> � State Contractors La�.v 18.27 RCW and 2'3 �200 W C. . <br /> �� �. ��'/'�' . ���- � � ��n6 <br /> Sign re of wner/Cp(�trac o / uthorized gent Date <br /> � �Z <br />