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SITE ADDRESS <br />1728 W. <br />IEGA LOTNO. <br />DESC. <br />P'�RMIT APPLICATI('��V <br />CITY OF EVERETT PERMIT S► RVICES <br />320G CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />PARCEL TAX I.D. # <br />View Drive 2y051800301300 <br />����Dl�i <br />BLOCK TRACT <br />Section 18 Townshin 29 North Ran¢e 5 East W.M. <br />Marina Village Partners 2601 WeEmore Ave. <br />c/o Coast Management Everett, WA 98206 (425)339-3638 <br />TENANTNAME CONTACTNAME PHONE <br />The Gverett Clinic �4e�e-t4artte3" -" ""�T <br />.��F' Ga rk [4zs ) Sz3 - zz�44- <br />CONTRACTOR A�OflESS ZIP CONTR. LICENSE M <br />PHONE <br />PROPOSEO USE OF BUILDING <br />Medical Office <br />PERMIT <br />TYPE <br />CONTRACT PRICE OF WORK 1 O6 � SOO <br />Building <br />Combination <br />Demolitian <br />Sprinkler <br />�Mechanical <br />Plumbing <br />Sign <br />n Addilion <br />�� Alleralion <br />G_� New <br />L> qepair/Mainl. <br />MEATSOURCE <br />�Eiearic <br />Gas <br />Oihef <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3705 <br />WORK DESCRIPTION <br />Remodel of an exi.cting restaurant for use as a medical office. Minor exterior work to <br />include new window and replacement of existing door. Interior work includes demolition <br />and installation of non-load bearing partition walls, finishes, and casework. <br />i <br />� NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />�VATORY (WASH BASIN) <br />KITCk1EN SINK 8 DISPOSAt <br />' CLOTHES WA'S�1ER <br />� URINAL � <br />� DRINKING FOUNT, - <br />I FLOOR ORAIN <br />BACKFLOW PREVENTER <br />, 1 S�NK (SEFVICE/8AR/MOP/ET . � <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />ANGEHOOD <br />',ER HEATER <br />ME L FIREPLACE/STOVE <br />FIRE CE INSERT <br />GAS FI PLACE <br />GAS RAN <br />GAS PIPING <br />EXHAUST FAN <br />I HEREBY CERIiIFY THAT I HAVE READ AND EXAMINED THIS APPIICATION AND KNOW THE SAME TO BE TRUE AND COFFECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NO f. THE G��ANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LCCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANC[ OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERIY TO PERFORM1I Tl1E WORK FOR WHICH APPLlCATION IS MADE AND � COM1IPLY WITH THE STATE <br />CONTPACTORS �AW 18.27 RCW .4N0 296.20_O WAC. <br />- �0 2 . <br />