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� r___ ����U7-��l(o <br /> PERMIT APPLICATION �< � �� � <br /> CITY OF EVERETT PERMIT SERVICES pa'W-�r'� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 V j <br /> 425-257-8810—FAX 425-257-8857—www.evere�twa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �I` y'�� I <br /> SITE ADDRE55 PARCEL TAX I.D.# P RMIT# <br /> :07U 7'cwel' S[YeeL, GVerett bLV 98201 ?°GSi'1p�1C�10LU D �I�D <br /> � <br /> LEGAL LO7N0. BLOCK TRACT I <br /> oesc __ I <br /> OWNER ADORESS CINIZIP PMONE � <br /> Evecetl Car.cruni�y Collegc, 7��� 'I'owet' Sttcet, cae�CCC bli. 987U2 <br /> �I <br /> TENANT NAM - {//I� CONTACT�OR PERMIT PHONE <br /> :.'.rCi�" : C� ne� nily 'ollege I I.alry Pcice. Dtrec[or ol Faciiities 4::S.JNc.i`_�ll <br /> CON7RACTOR ADDHESS CITY/ZIP PHONE <br /> bt�>>��n9on ld"]19 :,.. L°Ut Ploce. Eellevuc WA 98Uo7 d'1.5.359.6727 <br /> CONTR.LICENSE M �'�''�ORC'19UNG icn :u te' <br /> USE OF BUIL�ING HEAT SOURCE CONTRACT PRICE OF WORK I, <br /> cl.�:s,�oom:, .�nd er� icec _�lectnc _Gas x Other S::a,ouo.�e� � <br /> WORK DESCRIPTION �� <br /> Conslrucucu ut a 3-ulory, 77,ODU squ.rc tool clascrocm �nd otticc boilding, and acsociated silewo:i�.. � <br /> ae allowed by SdiPA 07-17E. Pro)ecC al�o includec the expanuion ot an exis[ing parkin9 lot along <br /> Uroadway, and the re-pa':�ino 01 che O7}rtnpu❑ parking lot alon9 Wetmorc. <br /> PLUMBING MECHANICAL <br /> INO. NPE OF FIXTURE OR ITEM N0. TYPE OF FI%TURE OR I7EM <br /> . -'1-- Tatc�l� = NC–air handting uN�s <br /> DathWb _ -f^�� air systems I <br /> , Lavatory(�vash basin) _ Gas pi ing <br /> '—' lU Wa�efheaier ��L1 �:oiu��ut -ur.c• <br /> SJwwer — I <br /> �kitchensink&disposal ����� �����P��%��lsl Gashreplace � <br /> � Dishwasher _ Gas range <br /> CloUies washer Clothes dryer � <br /> Laundry Iray ? Range hootl �, <br /> � Eahaust fan <br /> e Smk�sew��elbarlmopletc 1 � Haa um <br /> j Baykflow preventer — LP P <br /> � � �llnnt+l 3 Unii7hatet t'1 ��� �1Lernaccl <br /> 3 Onnking Founlam i�1 i n :i;i c:n,,i��- Botler <br /> 1 Ploor drain 4 Refngerabon <br /> Grease irap �— Woodstove � <br /> lU RoottlraiJl� C 1 Other Hcat F.xchanacr <br /> _ ���i <br /> — a -_ i <br /> CI7Y OF EVER[TT LOCAL SALES TA%COOE IS 3705 � <br /> I hereby cenhty Ihat I have read and examined this appiicahon and know the same to be true and cortect. All prows�ons of laws and <br /> ordinaces goveming Oiis lype of work will be complied with whether specilied herein or not The 9ranting of a permd does not presume II <br /> Ito grve aulhonty to violate or c3nCel the prowsion ol any other state or local law regulat�ng construction or the perfomiance of <br /> consiruction. Thai I am authorized by�he owner ol this property�o pertorm lhe work for which apohcadon is made antl I comply wAh the <br /> Stale Comra ws Law 1B 27 RCW and996 200 WAC. <br /> , , �.,: ,�^ . C,����,��:�sf��' �; r�.7.r�l � <br /> , <br /> gnaWie ot Owner/Coniraclod t nzetl Agent Date <br /> � �" � _�� <br />