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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-2.57-8810 — FAX 425-257-8857 — wvvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />P, MIT # <br />1402 SE EVERETT MALL WAY TENANT SPACE 122 <br />280518-004-018-00 <br />—� <br />LEGAL LOTNO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS CITY/ZIP PHONE <br />STEADFAST COMPANIES 4343 VON KARMAN SUITE 300 NEWPORT BEACH ,CA 92660 949-852-0700 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />I RONNA YETKA 724-845-7336 EXT 137 <br />FINISH LINE <br />CONTRACTOR ADDRESS CITYIZIP PHONE <br />ALLEGHENY DESIGN MGMT., INC. 1154 PARKS INDUSTRIAL DRIVE VANDERGRIFT, PA 15690 724-845-7336 <br />CONTR. LICENSE # ALLEODM0300H —/G -Ll <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />MERCANTILE I <br />_ Electric R Gas —Other <br />$232,316.00 <br />I <br />WORK DESCRIPTION <br />TENANT FIT OUT <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />' 2 <br />Toilet <br />A/C — air handling units <br />Bathtub <br />Forced air systems <br />2 <br />Lavatory (wash basin) <br />ower <br />Kit en sink 8 disposal <br />1 <br />1 <br />Gas,pipi a <br />Wate eater <br />Gas Lire I ce <br />Dishw her <br />_ <br />Gas range <br />Clothes Sher <br />Clothes dryer <br />tra <br />Range hood <br />1 <br />Laundry <br />Sink (service/b mop/etc.) <br />Backflow preventeT� <br />i <br />— <br />— <br />Exhaust fan <br />Heal pump \ <br />Unitheater <br />1 <br />Urinal \ <br />Drinking Fountain <br />Boiler <br />\\ <br />— <br />Floor drain \ <br />Grease trap <br />eratiRefrigon <br />Woodstove <br />Roof drains <br />— <br />O!lier <br />Other \\ <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />authorized the owner of this property to perform the work for which application +d made and I comply with the <br />construction. at <br />State Contr L 1 .27 and 296.200 WAC. <br />Sign o caner/Co ctor/Aut zed Agent D e <br />v <br />