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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR •STREET, EVERETT, WA 9820 i <br />425-257-8810 — FAX 425-257-8857 — www.evereftwa.org <br />/ yZ� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />34 T-80TH ST. UNIT 2D, <br />EVERETT, WA <br />01056800200400 <br />LEGAQ LOT NO. <br />BLOCK <br />TRACT <br />DESC. SEE ATTACHED <br />OWNER <br />ADDRESS CITYTP PHONE <br />526 CuNDO B2 UNIT D LLC 103 96TH AVE NE BELLEVUE 98004 206-332-1480 <br />TENANT NAME <br />CON:HC3 OR PERMIT PHONE <br />HAROLD CHRISTENSEN <br />I <br />CITC <br />C/O LANCE M.UELLER ARCHITECTS 206-325-2553 <br />CONTRACTOR <br />ADDRESS CITYOP PHONE <br />TO eE DETERMINED <br />CONTR. LICENSE 8 <br />USE OF BUILDING <br />HEAT SOURCE <br />I CONTRACT PRICE OF WORK <br />OFFICE/WAREHOUSE: <br />X <br />$92,500.00 <br />Electric_Gas _Other <br />I{I <br />WORK DESCRIPTION <br />RECONFIGURE EXISTING OFFICE <br />SPACE, ADD NEW OFFICE SPACE WITH NEW RESTROOM, ADD NEW WALLS IN WAREHOUSE <br />FOR SUPPLIER OF SHOW BUSINESS EQUIPMENT. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE <br />OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_ <br />Toilet <br />_ <br />A/C - air handling units <br />_ <br />Bathtub <br />_ <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />Shower <br />Water heater <br />_ <br />_ <br />Kitchen sink 8 disposal <br />_ <br />Gas fireplace <br />_ <br />Dishwasher <br />_ <br />Gas range <br />_ <br />Clothes washer <br />_ <br />Clothes dryer <br />_ <br />Laundry tray <br />_ <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />Exhaust fan <br />_ <br />Backflow preventer <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />_ <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby centify that I have read and examined this appkc.ion and know the same to be true and coned. 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 pe, mif does not presume <br />to give authority to violate or cancel <br />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 this property to perform the work for which application is made and I comply with the <br />State Contr c s Law 18 27 <br />W 296 200 AC <br />9/7/08 <br />gnat re of C)wnen ontractor <br />uthonzed Agent ate <br />