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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 2� � O PaCIfIC AVC PARCEL TAX I.D. # <br />00439074202300 <br />PERMIT # <br />�14��- <br />LEGALI LOT NO. I BLOCK I TRACT OR SUBDIVISION # <br />DESC.� <br />OWNER ADDRESS CITY/ZIP PHONE <br />ORKIN 2110 Pacific Ave Everett <br />TENANT NAME I CONTACT FOR PERMIT PHONE 425-259-6801 <br />Marshall signs INC. 2112 Everett Ave <br />e-nna,�� Marsign80@AOL.com <br />CONTRACTOR ADDRESS CITYIZIP PHONE �� <br />Everett <br />CONTR.LICENSE# CCMARSHS1988KF 98201 (� ��G�'� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />HEAT SOURCE I CONTRACT PRICE OF WORK <br />Electric Gas Other �� ,575 <br />2- 4'x8' 3ml Alupanel signs, fastened to building w/ #10 stainless screws 12" on center <br />Installing 2.) Signs to the building (one on south side, one on east side of building) <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances 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 RCW and 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent Date �I Z <br />