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!�-2��� - '-��i�j�C'� <br />PERMIT APPLICATION �.; o� <br />CITY OF EVERETT �'ERMIT SERVICES Gi2 ��� . o�� <br />3200 CEDAR STFlEET, FVERETT, WA 98201 � <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org �AI 1' i O; � <br />ncl,U <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM � ��W U` aU`� <br />SITE ADDRFSS I PARCEL TAX I.D. # I� RMIT # <br />nvi� �...,.......,.,... �a.... 7R(1L11f1f1'i(147f1f1 1 GKl�-U�L� <br />LEGA� LOT NO. I BLOCK TRACT OR SUBOIVISION # <br />DESC. �,at 1 of CiCy of Gvere[t SP (5-89) <br />OWNER ADDRESS - CITY2IP PHONE <br />Cre.�tive ProperCies, LI.0 111�5 Kulshan Road, Idoodway, 1JA 98020 425-774-3551 <br />TENANTN.'1ME CONTACTFORPERMIT PHONE 425-348-1700 <br />Same John Anthony, Community TransitE-MAIL ]ohn.anthony@commt� <br />C TRA O DF: SS CI O • <br />7'fSD <br />CONTR. LICENSE N <br />USE OF BUILDING <br />Bus Shclter <br />HEATSOURCE <br />Elec�ric _Gas�Other N�p <br />CONTRACT PRICE OF WORi( <br />� 22'� .121G'Z <br />WORK DESCRIPTION <br />Remove existing pavement and exisLin� site improvemenCs as necessary, <br />install raised transit platform, install necessary infrastructure, erect shelter <br />structure and install needed amenities. <br />N0. � TYPE OP Fl%TURE OR ITEM <br />Toilet <br />Bath�ub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.j <br />BackOow preventer <br />Urinai <br />Drinking Founlain <br />Floardrain <br />Greaset:ap <br />Roof drains <br />Other <br />NO. <br />TYPE OF FIXTURe OR ITEM <br />A/� — air handling units <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 />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woods�ove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby ceritify Ihat I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing ihis lype of work will be complied wilh whelher specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancei the provision ot any olher state or local law regulating construction or the peAo� nance ot <br />construction. fhat I am aythoriz py the ywner of thi, property to perform the work for Hhich application is made and I comply with Ihe <br />Slate ConlractQrs l,ai4�t8.27 CVjI and,296200 WAC. /) <br />_ v / ,i �' ✓ <br />�tureq(Ow dC ntracror/Authonzedylgent .ale /� <br />/ l <br />ms <br />