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PERMI�" APPLIC�►T�C�N <br />CITY OF EVERETT PEFiMIT SERVICES <br />3200 CEDAR STREET. EVERETf, WA 98201 <br />425-25i-8810- FAX 425-257-8857 <br />�58'a� Oa- / cx�:�oo <br />51TE ADDRESS I PARCEL TAX I.D. M PERMI7 n <br />4225 HoYt Ave. 98203 See A.ttched I� O�T�� � <br />� — —. <br />LOT NO. BLOCK TRO.CT <br />2,3,w,7 21 <br />tt Family Practice Properties LLC <br />TENANT NAME <br />Western Washington Medical Group <br />CONTRACTOR <br />To be determined at bid. <br />PHONE <br />Soutn. Park Addition <br />CONThCT NAlAE <br />Mne Dennis <br />AODRESS <br />t . ldA <br />ZIP <br />PHONE <br />(425)339-0707 <br />CONTR. LICENSE M <br />PROPOSED USE OF BUILDING I 3wlding Mechanical f qtldrtion I HEAT SOURCE <br />PERMIT �:ombinalion � Plumbing IWORK � Alleration � Elecvic <br />Medi.cal / Of Eice 7ypp eemolition sign 7vpe New cas <br />— Sprinkler Feoairi�Aaim. � Other <br />CONTRACT PRICE OF WORK �32, 50G.00 CITY OF EVERETT LOCAL SALF.S TAY. CJDE IS 3105 <br />WORK DESCRIPTION <br />Ne�r tenant improvements inside exsisting medical clinic. Install ne�a carpet, Einishes & <br />paint. Install new MA compliant restroan & sh��wer. Install. neto lighting in oEfices & new <br />windows into courtyard. <br />NO. I TYPE Of FIXTURE OR REM <br />_I WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />� SIiOWER <br />KITCHEN SINK R DISPOSAL <br />DISHWASHER <br />_ LAUNDRYTRAY <br />CLOTHES WNSHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DP.AIW�� <br />3ACKFLOW PREVENTER <br />SINK (SERVICrJOAFUMOPiETC.) <br />OTHER_ �. <br />��0. I TYPE OF FIXTURE GR ITEM <br />A/C –.41HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYL•F <br />}iANGE HOOD <br />WATER HEA-ER <br />METAL FIREPLACElSTOVE <br />FIP.E°LACE INSERT <br />GAS FIREPLA.Cc <br />GAS RA�NGE <br />GAS PIPIt�G <br />EXHAUST FAN <br />I H[REEY CERIiIFY 7HAT I HAVE READ AND ErAMINEO THIS APPUCATION AND KNObV THE SAME TO BE TRUE ANU CqRRECT. ALL <br />r'ROVISIONS ^F 1114VS AND ORIDINACES GOVER�JING THI ; 1YPE OF W0.9K WILL BE COA;P�I�D WITH WHETHER SPECIF-IED HEREIN OR <br />NOT. THE GRAP:TING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOWTE OR CANCEi THE PROVISION OF ANY OTHER <br />STATE OR LOCAL L:W REGULATING CON�TRUCTION OF THE PERFORAfANCE OF CONSTFUCTION. TFAT I AA7 AUT4URIZEO BV THE <br />OWNER O HIS PROPtfl O ERFORht THE W " OR WHICH APPLICATIpN IS �.tAGfi AND I COAIPLY WITH THE STATE <br />ICONT T RS L1W 18.'?7 C 29G.2C0 �.�, % <br />S. � . �---•--......-- -- �_.L�'�'r— ��=�.idZ <br />� <br />'/a <br />