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� <br />,� <br />PERMIT APPLiCA �'ION <br />C17Y OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET EVEREiT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />� <br />APPLICATIONS ARE ACCEP7EQ FROM 8 AM TO 4 PM - DEBIT E. CREDI'� CARDS ARE N T ACCEPTED <br />SITE ADDRESS <br />9.0 SE Everett Atall <br />LOT NO. I BLOCK � TRACT <br />P`.�dison Development Group <br />TENANT NA�dE <br />G1oT6'lo�s <br />GON7RACTOR <br />Impero Contracting Co., LLC <br />CONTR.LICENSE# IMPERCC013PtA <br />USE OF BUILDING <br />Ret�il <br />WORK DESCRIPTION <br />Plumbing In.stallation <br />PARCEL TAX I.D. # <br />28051800306I00 <br />PERMIT # <br />10510 hE Northup lJay Ste 120 Kirkland idA 98033 425-8 <br />I CON7ACTFORPEftM1T PHONE <br />Greg Nelson 360-770-1006 <br />ADOR�SS C:TY/ZIP PY.O`:E <br />1971 hfidway Lane Suite N Bellingham, lJA 98226 <br />360-733-7052 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink ;s?n�ice/bar!mopietc.? <br />Back9ow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Greasetrep <br />Roof drains <br />Olher .�-". ,`i...L.�._-- <br />HEATSOURCE <br />Electnc h Gas Otlier <br />NO. <br />CONTRACT PRICE OF WORK <br />5900,000 <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas f replace <br />Gas range <br />Clofhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />8oiler <br />Refrigerotion <br />Woodslove <br />CITY OF EVERETT LGCAL SALES 7AX CODE IS 3105 <br />I I hereby ceritify that I have rt?d and examii�ed lhis application and know the same to be true and correcL All provisions of laws and <br />'. ordinaces goveming this type of work will be cumplied with wnether specified herein or noL �ihe granting of a pertnit does not presume <br />� to give authority to violate or ca�icel ihe provision of any o�her state or local law regulating construction or the perfortnance o( <br />� construCiun. That I am author;Zed by :he owner of this prop:ity to perfortn lhe work for which application is made and I comply wilh the <br />I State Contractors Lav� 18.2; RCW anu 296200 WAC. <br />I i�L�t . t— a'� i_ ._ ��_`; '� �� :� ( Z� � C�j" <br />SignaWre of OwnedContractor/Authonzetl Agen[ Date <br />