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PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —wvuw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ./�A PARCEL TAX I.D.# PERMIT# <br /> 6300 MERRILL Ci2eEK PARI(WAY rL%Ct' , / ` 28040200301500 3c ', � , �� <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. SEE ATTACNED <br /> OWNER AODRESS CIlYR1P PHONE <br /> MERRILL CREEH HOLDINGS LLC 600 UNIVERSITY ST. , SUITE 2820 SEATTLE 98101 206-325-2553 <br /> TENANTNAME CONTACTFORPERMIT PNONE <br /> ROLLS ROYCE HI�ROLD CHRIST6NSEN 206-325-2553 <br /> CONTRACTOR ADDRESS CITYILP PHONE <br /> SGA CORPORATION <br /> CONTR LICENSE# SGAC0��084B5 1501 N 200TH ST. SHDRELINe 206-523-2L 1 <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> OFPICE (B) / WAREHOUSE (5-11 $20,000 <br /> Elednc x Gas Other <br /> WORK DESCRIPTION RECONFIGUW�TI017 OF EXISTING OPEN OFFICE SPACF. FJR NEW EXECUTIVE OGFICE. ALSO <br /> RELOCATION OF (1) DOOR AND (3) WIFDOWS IN THE OFFZCE AREA. <br /> PLUMBINr, MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM N0. Tl'NE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kiichen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.) __ Exhaust fan <br /> BackAow preventer Heat pump <br /> Unnal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease lrap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritdy that I have read and examined this application and know the same to be true and cortect. All provisions of laws and <br /> ordinaces goveming this type of work�wll be complied wilh whether specified hereir or not.The granting of a permit does no;presume <br /> to give authonty lo violate or cancel the provision of any other stale or local law regulating construc6on or the performance of <br /> constructioa Thal 1 am aulhorized by the owner o(this property to perform the work for which application is made and I comply with the <br /> State Contr or aw 1827 RCW�nd 0 WAC. <br /> /� ii/z�/o� <br /> Sign�e of OwneUConlracrorlAuthonzetl Agent ate <br /> �/z <br />