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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# I PERMIT#_. <br /> 3302 18th Street (see bottom of this page) Y i 1.fDCQ , 002. <br /> LEGAL LOT NO. BLOCK TRACT <br /> DEsc. 396 and 397 Riverdale Addition to Everett <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> City of Everett Real Prop. Dept. 3200 Cedar Everett, WA 98201 425.257.8938 <br /> TENANT NAME acksen. ra,-/ CONTACT FOR PERMIT PHONE <br /> Parks and Recreation Dept . Mark Harrison, Parks Planning Mgr. 425-257-8378 <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> To follow <br /> CONTR.LICENSE# <br /> USE OF BUILDING park gardening HEAT SOURCE CONTRACT PRICE OF WORK <br /> and rest rooms (2 unisex) X Electric _Gas_Other 11lCCh 1000.052-- <br /> WORK DESCRIPTION Sit-e-deme-1i r ' ,brad;na surface and • - <br /> i . - _ _ _ - .-. :. . -..-- _ :_ of <br /> - .om u _ <br /> cat,rt��t� sept shins and landscaping. <br /> FILM g. MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> a_ 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 /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) _3 Exhaust fan <br /> Backflow preventer Heat pump <br /> _ Urinal 3 - Unit heater <br /> Drinking Fountain (on site) Boiler <br /> 3 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 authority to violate or cancel 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 Contractors Law 18.27 R _ d 296.200 WAC. Tax Parcel ID #s: <br /> —�®, 6/11/2014 00556339603000 <br /> S.nature .4-owner/ on or/Au orized Agent Date 00556339601700 <br /> Mark Harrison, -rks Planning Manager 00556339700101 <br />