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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />511'F ADDRESS <br />2012 34th Street <br />LEGAL� I.OT N0. z 9 I SBLi $K <br />DESC. <br />Andrew Dimmock <br />Tim Farley <br />PARCEL TAX I.D. # <br />00937381802902 <br />TRACT OR SUBpIVISION # <br />G �--1�`-t7� <br />"�`"•,`�� �... _.. 425-�39-1323 <br />2925 Rockefeller Ave., Everett, WA 98201 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Andre�,� Dimmock Ann Sager 206.328.2886 <br />Tim Farley of Patricia Bre�inan Arch.E•Maipbarch@earthlin'.c.n <br />CO TRACTOR � ADDRESS CIT I IP P O <br />� � � <br />TBD v 1� ( <br />CONTR. LICENSE # �� I�����.�� ��.��/l.L'�� l�'� I�IC ��L. IC �LI�-��L <br />USE OF BUILDING <br />change from SI'R to <br />business <br />HEAT SOURCE <br />Elecvic � Gas _ Other <br />CONTRACT PRICE OF WORK <br />$250,000 <br />WORKDESCRIPTION Conversion of residential hbme to office space, includinq <br />modificati.on of plan, rebuild and enclosure of porches (both ends). <br />NO. I TYfE OF FI%TURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 dispasal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (serviceiliar/mop/etc.) <br />Backflow preventeF <br />Urinal <br />Drinking Foun,ain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO, � TYPE OF FIXTURE OR ITEM <br />� A/C - air handling units <br />� Forced air systems <br />_f__ Gas piping <br />�Water heater <br />Gas fireplace <br />�Gas range <br />�. Clo?hes dryer <br />� Range hood <br />� Exhaus;fan <br />�Haai pump <br />Unit heate� <br />�_ Boiler � <br />_L_ Refrigeration � <br />O_ Woodstave �� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby centify that I have read and examined ±his application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this rype of work will be complied with whether specified herein or not. The gran;inc� of a permit does not presume <br />to give authoiity to violate or cancel the provision ot any other state or local law regulating construcuon or the performance of <br />construction. That I ahi authorized by the owner c! this properry to perform the work for which applica5on is made and I comply with the <br />State Contraclors LnW jA.27 R�W and 296.200 WAC. <br />� � �ii _ <br />��v <br />:t <br />