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- ,- , , <br /> PER:MIT APPLICATION ��1� � ' �� � �' �'�`�'��'_ t� <br /> CITY OF EVERETT PERAMT SERViCES �!�'' 0 � Z�;;� - � <br /> 3200 CELA.Z STREET, EVERETT, WA98201 '••• - <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org ���1 - <br /> C�� _ �V,"r_; �. <br /> �'��'u�.,� c: -. � <br /> APPLICATIONS AR� ACCEPTED FROM B AM TO 4 PM ` `�� ';�. ^, <br /> SITE ADDRESS PARCEL TAX I.p.# PERMIT# <br /> 230D Merrill Creek Pkwy 28040200300200 � <br /> LEGA LOT NO. BLOCK TflACT OR SUBDIVISIOiJ k y O I � 'b��-� <br /> DESC. �� ��� <br /> OWNEfl ADDRESS CITY2IP PHONE <br /> OPUS NW Mgmt P.O. Box 263 Minneapoli� <br /> TENANT NAME CONTACT FOR PERMIT PHONE Z53-926-2290 <br /> Seaway Spec Space I John Dacca E•MAIL <br /> Y <br /> Patriot Fire Protection, Inc. 2707 -70th Ave E, Tacoma,WA 98424 (253)926-2290 <br /> CCNTR.uCENse s PATRIFP099CF ' � -,-� O <br /> USE OF BUILDING HEAT SOUHCE CONTRACT PRICE OF WORK <br /> Office Space I �Eleciric ❑ Gas 0 Other 2�900 <br /> WORK DESCRIPTION <br /> add heads for new ceilings <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR ITEM NO. TVPE OF FIXTURE OR ITE�7 <br /> Toilet NC-air handling units <br /> Bathtub Forced air systems <br /> Lavatory pvash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 di;posai _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(serviceiber'mop/etc.) _ Exhaust lan <br /> Backflow preventer _ Heat pump <br /> Urinal Uni1 healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Re(ri�eration <br /> Grease Irap _ Woodstove <br /> _ Root dra�ns � Other <br /> _ Other ����'�� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined ihis application and know�he same lo be irue and correct. All provisions of laws and <br /> ordinaces governing Ihis�ype of work will be complied wilh whether specitied herein or no�.The granting of a permit does not presume <br /> to give authority to violale ur cancel the prc-^'s�on of any other state or local law regulating construction or the performance ot <br /> construction.That I am authorized by the ewner of ihis property to perform the work for which application is made and I comply with the <br /> State Contractors Law 78.27 R W ari 296.200 WAC. <br /> - ' ; - �� � �� �� <br /> Sig atUre of w i ra �(ori t nzed Agent � atT7 e— <br /> J <br />