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� - . <br /> PEKMITi APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everetiwa.org <br /> APFLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL i AX I.D.# PERMIT# <br /> 10025 - 19th Ave. SE 2805200020!.900, 280520'Y)20250G � (p va- -� J <br /> LEGh: LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> T1�H Property Investments, LLC 10025 - 19th Ave 5�., Everett, WA 98208 425-337-7400 <br /> TENANT NAME Ryan li110�P aR�M1T PHONE <br /> Solid Rock CofEee Co. Gary Parkinson Architects 425-252-2153 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> Gaffney Constructi.on 10511 - 19th Ave SG Everett, [dA 98208 425-338-2114 <br /> CONTR.LICENSE# gafEnci104K3 <br /> USE OF BUILDING HEAT SOURGE CONTRACT PRICE OF WORK <br /> Restaurant / OEfice / medical <br /> (co£fee shop) _Electric X Gas_Other $60,000 <br /> WORK DESCRIPTION <br /> Ten:�nt improvement for new coffee shop in existing medical / office biiilding. <br /> 1,20�sf tenant area <br />� PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTL'RE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> � Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Fioor drain Refrigeration <br /> Greasetrap Woodstove <br /> =I Roof drains Other <br /> Other_ _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and cortect. All provisions of laws and <br /> ordinaces governing this type of work 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 ihe provision of any other slate or local law regulating conslruction or the pertor,mance of <br /> constructi .That I am authori ed by the own f this property to periorm the work for which applicalion is made and I comply with ihe <br /> State C t ctors Law 18 7 d 2 00 AC. <br /> G��� ,� ., a / D� <br /> Si at e OwnedContraclor/Autho ' Agent ate <br /> V <br />