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PEh21VIIT APPLICATION <br />CITY OF EVERETT PEF2MIT SERVIC�S <br />320C CEDAP, STREET, EVEP.ETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />i�PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DESIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE /1DDRESS PARCEL TAX I.D. # PERMIT # <br />607 SE Everert h1a11 Wa 28U51800304000 go4��g'�� � <br />LEGAL _ LOT NO. BLOCK TRACT � <br />oesc.� Sec 18 'It�m 28 RQe 05 <br />Dave, Robinson/Robinson Properties 500 SG Everett hiall Way Everett 98208 (425) 353-8400 <br />TENANI' NAME _ (� h7 ��� I CONTAi.T FOR PERMIT <br />Gary Parkinson <br />CONTRP�CTOR ADDR[SS CITYlZIP <br />Gzffney Construction 10511 19th Ave SC Ste C�verett, [dA 98208 <br />CO,NTR.LICENSE# GnrrNc1104K3 3/31/05 <br />USE OF' BUILDING <br />.S ��2_���9 W\,�, 1\ <br />HEATSOURCE <br />Electric k Gas Other <br />WORK OESCRIPTION <br />��=.o� n ������� Cd.Y.,���� -��� �rk� <br />°s��-�-,-� 4����--� c�,�,,, ��c a r- -��< < � x��>-� N� <br />N0. I TYPE OF FIXTURE OR ITEM <br />I Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitc:hen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sinl< (service/bar/mop/etc.) <br />Backflow pr�venter <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />�: <br />'iJ: <br />PHONE <br />(425) 252-2153 <br />PHONE <br />(425) 338-2114 <br />CONTRACT PRICE OF��WORK <br />� Q C�C �G � <br />�,.�,,,� �����-���vc�. <br />� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />� Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY Ui= EVERETT LOCAL SALES 7AX CODE IS 7105 <br />I hereby ceritify that I have read and examined lhis application and know the same to be true and correct. All provisions of laws ar.d <br />ordinaces giwsrning'.his type of work wili be complied with whe!her specified herein or not. The granting of a permit does not presume <br />to give authonty to vi at or cancel the provision of any olher sta:e or local law regulatiny construction or the performance of <br />constryeti4n. Th am uthp�ized by the owner of this property tu perform the work for which application is made and I comply with the <br />State,Con[ract s La 18.27iRCW and 296.200 WAC. <br />_2_ <br />_°�: `� <br />� <br />%� <br />a <br />