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f <br /> PERMIT APPLICATION � <br /> CITY OF EVE�iETT PERMIT SERVICES ","; � �, - �� 1 <br /> 3200 CEDAR STREET, EVERETT,WA 962Q1 � <br /> 425-257-6610-FAX 425-257-8857-www.everettwa.org 1 I l,_° � �-� � <br /> T-r <br /> �y�L� APPLICATIONS ARE ACCEPTED FROh!8 AM TO 4 PM ' <br /> SRE ADDRES PARCEL TAX I.D.� P RM�f <br /> 1��Rockefeller Avenue 0043852470�t�1 �� � " /JQS J <br /> LE LOT NO. BLOC" iRACT OR SUBDMSION f <br /> DESC. 20-32 247 <br /> OWNER RES ZP P h <br /> Providence Everett Medical Center 925.261 . 9558 <br /> 1800 13th Street F.VP_TPY�'' wA qR7n� <br /> '[�NANT NM1E COHTACT FOR PERMR PNONE <br /> Mark Baughman 425.25^.9140 <br /> � mark.baughmanPmo-tenson_cAm <br /> Mortenson Construction 1811 13th Street 925.258. 9140 <br /> cot�nt.uC�sE�021965 Everett, WA 98201 <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gaz_Other <br /> WORK DESCRIPTION <br /> Demolition Permit to demolish exisiting oar�ing garage and <br /> related site features. <br /> PLUMBING MECHANICAL <br /> N�. TYPE OF FlXTVRE OR REN NO. TYPE C�F Fl7C7URE OR ITEM <br /> Toilet /UC—air handling units <br /> Bathtub Forced alr systems <br /> Lavatory(wash basin) Gas pfpinp <br /> Shower IYater heater <br /> Kilchen sink&dispos sl Gas fireplace <br /> Dishwasher Gasrange <br /> Gothes washer Gotlies dryer <br /> Water heater Rarge hood <br /> Sink(servica�barlmop/etc.) 6d�aust fan <br /> B.�ckf�nw preveMer Fieat pump <br /> Udnal Unfl heater <br /> Drinking Fountain Boiler <br /> Fbor drain Refriperetion <br /> Greaso Irap Woodstove <br /> Roof dralns Other <br /> Other <br /> CITY GF EVERETT LOCAL SALES TAl(CODE IS 3/05 <br /> I hereby cerilify thal I hava read and examined this application and know the same to be true and corteci. All provisions of laws and <br /> ordinaces goveming thfs type of work will be compiied with whethar specifiad herein or noL The pranting of a pertnH does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulatlng constnic6on or lhe perlormance ol <br /> construction.That I am authorized by the owner ol thfs property to perfortn the work for which appiicatlon is made and I comply with the <br /> Slate Contraqors Law 1827 RCW and 296200 WAC. <br /> �n �, � � � � � � ,� <br /> -?��� �f`(.�, ��r.'_ .�� , �i <br /> Signature of O�medConVactor/Authorized Agent ata <br />