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f <br />PERMIT APPLI�ATION <br />CITY OF E'✓ER�TT PERMIT SERVICES <br />3200 CEI)AR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM ��) ���� <br />SITE ADDRESS PARCEL TAX 1.0. f! PERMIT t^ � <br />i(17S N Rra�dwa 29051700203700 / ''�/` Z <br />LEGA LOT NO. BLOCK TRACT OR SUBDIVI910N N <br />DESC. tiCe S1Ce p1.� . <br />Sunr.ise Services ]nc/Sue (;losser 1'0 Box 7.558 I�.veret:t 98213 (425)34)-3149 <br />TENANTNAME CONTACTFOHPERMIT PHONE (425) 252-215� <br />Cary Parkinson <br />Sunrise Services (;;��y p�rRin^,on Architects e�Mu� �;ary@p,aryparkin�nn. <br />�A�p ommr PMONE <br />Gaffney Cnnstructi�n 8105 f�roa�ha:ry 1:verett 982(13 (425) 355-5500 <br />CONTR.LIdENSEN ����;�C1�041<:i 3�31�0� <br />USE OF BUiLDING <br />OEEices <br />WORK DESCRIPTION <br />NEATSOURCE <br />� ElecVic g Gas _ Other <br />Miscellameous CennnC im��rnvrnients �s requireci. <br />N0. I TYPE OF FlXNRE OR ITEM <br />Todet <br />Bathtub <br />_ Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 tlisposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink �serviceibar/mopietc.) <br />_ Backflow preventer <br />Unnal <br />_ Drmking Fountain <br />Fioor diain <br />Grease tra � <br />Rool drains <br />Other <br />CONTRACT PRICE OF WORK <br />$400,00'J.0(1 <br />NO. I TYPE OF FlXTUNE OR ITEM <br />A/C - air handhng units <br />Forcecf air systems <br />Gas pipinc <br />Water heater <br />Gas lireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pi mp <br />Unit heater <br />Boiler <br />Relrigeration <br />Wo�Wstove <br />CITV Of EVENETT LOCAL S111_ES TAX CODE 19 3105 <br />I hereby ceritity that I have read and examined this application and know the same to be true and correct. All provisions ol laws and <br />ordinaces governinq Ihis type of work will be complied with wliether spacilied herein or no7. fhe granting of a permit does not presume <br />to grve authorlty o violate or cancol the provlsion of any other state or local law regulatiag const�uction or the peAormance ol <br />cons�rucuon 7 I I am auth ¢ed e owner ot this propeny to pedorm the work for which application is made and I wmply with the <br />State Contr ors Law 18.2 C a 296200 WAC. <br />c ��/1��Di 8���0�, <br />v� <br />