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( ( <br /> PERMIT APPLfCATION <br /> CITY OF EVERETT PERMIT SEP.VICES <br /> 3200 GEDAR STREET, EVERETT, WA 982C1 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.ory � <br /> �.PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � `�a� `�v <br /> SITE ADDRESS PARCEL TAX I.D.# PE IT# <br /> 1ll�2 Evergreen Way 00442900300600 �J `�-��� <br /> LEGAL L0T NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. 6 G03 <br /> OWNER ADDRESS CITYIZIP PHONc <br /> Col.umbia State [�ank P.O. IIox 2156 Tacoma, WA 96401-2156 (7.53) 305-1900 <br /> TENANTNAME CONTACTFORPERMIT PHONE (25J) 475-0380 I <br /> Col.umbia Dank Jerry Isaksen E-MAIL studio@zpaaia.com <br /> RPCI 801 Vall.e� Avenue NW Puyall.up, WA 98371 (253) 922-3399 <br /> CUNTR.LICENSE# ACCRGCL993NP <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> I3ank/Offi.ce Electric x _Gas_Other $150,000 <br /> WORK DESCRIPTION <br /> A tenant irt�provement ot an existi.ng bank F.uil.ding for use by another bank. Work <br /> inc].udes demolition of some interi.or, non-bearing walls and wnstruction of new <br /> i.nteri.or, non-beari.ng wall.s, as well. as a new covered entry. <br /> PLUMBING N�A MECHANICAL <br /> N0. TYPE OF FIXTURt i.�ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systerc�s <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> � Kitchen sink R disposal Gas fireplace <br /> Dishwasher Gas renge <br /> Clothes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(servicelbar/mop/elc.) Exhaust fan <br /> BackFlow preventer Heal pump <br /> Urinal Unit heater <br /> Drinking Founlain oiler <br /> Floor drain ' eralion <br /> Grease trap Woodstov <br /> Roof drains Olher <br /> Other Rel.oca io�existing ippl.y and <br /> — — re urn gri . s an bal.anci system <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�705 <br /> I hereby certify ihal I have read and examinzd lhis:ipplical�on and know ihe same to be true and correct. All provisions of laws and <br /> ordinances goveming this type of work will be complied with whether cpecified herein or not. The 9ranting of a pertnit does nol presume <br /> to qive aulhority to violale or cancel the provision of any other slate or local law regulating construclion or the performance of <br /> consiruction. T at I am autho�ized by ihe owner of this property to pertorm the work for which application is made and I comply with the <br /> Slate Conlrect rs Law 1 27 RCV�and 2,96.200 WAC. <br /> ,� G� :,-- - /(�� IU <br /> of Own �Contrec r/Authorized Agent Date l� <br /> 2 <br />