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( <br /> PERMIT APPLICATION i��T <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8357—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS Br�ILDZNG B pARCEL TAX I.D.# pERM1T# <br /> 5801 23rd DR.4, EVERETT, WA 2804020020700 � ��/ � .. �D� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. SEE ATTAC};cD <br /> OWNER ADDRESS CINILP PHONE <br /> SEAWAY COP.POPATE LOT 3C LLC 4932 NE 97TH ST SEATTLE 98115 206-525-2220 <br /> 7ENANTNAME CONTACTFORPERMIT PHONE <br /> HAROLD CHRISTENSEN <br /> BRIDGEWAYS C/0 L�ANCE MUELLER ARCHITECTS 206-.25-2553 <br /> CONTRACTOR AD�RESS CINZP pHONE <br /> CONTR.I.ICENSE# <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WOP.K <br /> OFFICE/WAREHOUSH/tMNOFACTIIRING g 5251,000.00 <br /> I _Eledric _Gas_Other <br /> WORK DESCRIPTION <br /> CONSTAOCT NEW OFFICE SPACE WITHIN EXIS1'ING SHELL EUILDING. SPACE NILL 8E USeD FOR HRZCGEWAYS OFFICE, <br /> MANUFACTURING AND WAREHOUSE ACTIVITIERS. WORK WiLL INCLUDE A DEMISI[JG WALL, OFFICE SPACE, RESTROOMS <br /> Fli�D OPEN AREA W?1'HIN WARENOUSn SPACE FOR LIGHT MANUFACTURING. <br /> PLUMBING MECHANIGAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Sh�wer Water heater <br /> Kit�:hen sink 8 disposal Gas fireplace <br /> Dir.hwasher Gasrange <br /> Clothes washer Clolhes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmop/etc.) Exhaust(an <br /> BackFlow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fowtain Boiler <br /> Floor drain ReFrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same ro be true and correct All provis�ons of laws and <br /> ordinaces yoverning lhis type oF vrork will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction. That I am authorized by the owner of Ihis property to perform the work for which application is made and I comply with the <br /> State Contra ors�RCJ{y,and 296200 WAC. <br /> ('/ 11/9/09 <br /> Sign re o Owner/ ontract Au-t onzed� Date �7 <br /> C�. <br />