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v <br /> i <br /> P(�=RMIT APPLI�ATK�N <br /> CITY QF EVERETT PERh91T SERVICES <br /> 3200 CEDAR STREE"1', �VEPETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> i ���^� nvJ 30� -o <br /> SITE ADDRESS FARCEL TAX I.D.k PE� MIT� <br /> 383=19th AVE SE E�erett [dA 98201 280520-002-057-00 �b� ��/ �` <br /> IEGA LOT NO. BLOC�< TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE I <br /> Lvnette Sundholm O.D. 1710-100th PL SE Suite 101 Everett [dA 48208 (425)338 5400 I <br /> TENANTNAME I CONTACTI�AME PHONE <br /> S�s O�,,ner �,ra-n —..��a�S�? <br /> CONTRACTOR ADORESS 7JP CONTR.LICENSE N <br /> Gaffney Construction 10511 19th AVE SE Suite C Evere:tt wa 9820$ GAFFNCI104KS <br /> PHONE <br /> (425)338 2114 <br /> PROPOSED USE OF BUILDING � Building � Mechanical Addition HFAT SOURCE <br /> PERMIT Combination Plumbing WORK Alteration Eleceric <br /> Eye CL-111C TYPE � Demolition Sign TYPE New � Gas <br /> Medical OfEice � Sprinkler Fepair/Maint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WOflKDESCRIPTION Construction of new office building for an eye clinic, <br /> Ptain floor 5512 SF with 346 SF utility basement. Includes asphalt parking lot, <br /> detention vault with wet pond and utility connections. <br /> PLUMBING MHCHANICAL <br /> I NO. TYPE OF FIXTURE OR ITEM IJO. TYPE OF FIXTURE OR ITEM <br /> i WATERCLOSET A/C—A/HANDLINGUNITS <br /> I _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SFiOWER UNIT HEATERS <br /> KITCHEN SiNK& DISPOSAL _ CLOTHES DRYER <br /> , DISHWASHE.R _ RANGE HOOD <br /> � IAUNDRY TRA'I WATER HEATER <br /> ' i.LOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DHINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLO�V PREVENTER GAS PIPING <br /> SINK (SERVICElBAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER_ _ OTHER <br /> I HEREB'f CEFITIFY THAT I HAVE READ AND E?(AMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> Pf70VISI0N5 OF WWS AND ORIDINACES GOVGRNING TH�S TYPE OF WOfiK WILL BE COMPLIED WITH WHEi HER SPECIPIED HEREIN OR <br /> NOT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OF LOCAL LAW FEGULATING CONSTRUCTION qR THE FERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWPJER THIS PROPERTY TA PERFORM THE WQRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT C R�W 18.27 '�JO/ N 296.200 LNAC. �/� <br /> l/ Q <br /> Si nal I Owner/ConlractodAutho � d Agent �a�e ��L <br /> � /''���,� <br />