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n <br />r, <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 —www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />6'!00 Hh4DE5UN RD, EVERSTT, WA <br />LOTNO. I BLOCK <br />SF.E AITACHED <br />TRACT <br />PARCEL TAX I.D. A <br />zeoaazooaoizoo <br />�O �/ <br />SI.S HARJHSO4 LLC P.O. 60A 60051 SfiOREI�SNF., 98160 206-543-5903 <br />TENANTNAME CONTACTFORPERMIT PHONE <br />NI�ROL� CHItIST�NSEY ZpG-725-2553 <br />GOOORICN C/O WNCE MUELLER MCHITECTS <br />CONTRACTOR A�DRESS CI?Y21P PHONE <br />JMS CONSTRUCTION 8575 WILLOL4S RD. L1E REDMOND, WA 98052 425-883-0241 <br />CONTi2.LICENSEtl �mSCOC'�150YS <br />USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br />OFFICE/M1WfiUFACPURING/WAREHOUSF. � $18,000.00 <br />Elednc Gas Olher <br />WORK DESCRIPTION <br />ins[all 121 modular rooms viehin manufac�urin5/warc:�ouae azca. �fficc for co-location and valve <br />ehop. <br />NO. I TYPE OF FI%7URE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (vrash basin) <br />Shawer <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry lray <br />Sink (service/badmoplelc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Flocrdrain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE Of FIXTURE OR ITEM <br />A/C – air handlin� units <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Ranye hood <br />Exhausifan <br />Heat pump <br />Unil healer <br />Boiler <br />Refngeration <br />Wootlstove <br />Other <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS ]105 <br />I herehy cerilify that I have read and esamined this application and know the same to be true and cortect All provisiors ol laws and <br />ordinaces govmning this rype of work will be complietl wilh whether specified herein or nol The granting of a permit dces not presume <br />to give authority to violate or cancel the provision ot any other state a local law regulating construction or the pertormance ot <br />constructio . Thal � 2m authorized by the o�mer of Ihis property to perform the v�crk for which zpplication is made and I comply vnth the <br />State oi ractors L�aw /1827�",. and 25G, 00 WAC. <br />eusl�/ LAivJ��- i/ia/e� <br />gn ure ol vmerl oNraclor/Authonzed Agem a��— �I <br />a <br />