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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 —2 ,a_3-0 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM PO 90J -0( <br /> SITE ADDRESS 3 313 Smith Avenue PARCEL TAX I.D.# PERMIT# <br /> Everett, WA 98201 00439074401300 \,69.0.5-27 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. See plan set drawing No. C3 <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> City of Everett 3225 Cedar Street Everett, WA 98201 425-257-8935 <br /> TENANT NAME CONTACT FOR PERMIT PHONE 4 2 5-2 5 7-8 9 3 5 <br /> Everett Transit George Baxter <br /> E-MAIL gbaxter@ci.everett.wa.us <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> CONTR.LICENSE# Cot _ Iv <br /> USE OF BUILDING HEAT SOURCE N/A CONTRACT PRICE OF WORK <br /> Transit platform $1, 075,185 <br /> Electric Gas Other <br /> (construction subtotal) <br /> WORK DESCRIPTION <br /> Construct 4 bus bays; 2 Swift BRT shelters; X iconic Swift marker; ITS; reader <br /> boards; and ticket vending machines . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE 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 heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> 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 correct. 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 authr 'ty to violate o cancel the provision of any other state or local law regulating construction or the performance of <br /> construct'. That I am a 4.rized M the owner of this property to perform the work for which application is made and I comply with the <br /> State Cr actors Law 1.. RCW - d 296.200 WAC. <br /> Signature if Owner/Contractof/Authorized Agent Date / <br /> �2 <br />