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t � � �� <br /> ' ' PERMIT APPLICp►TION ( � � x� <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 \�v s "��/� <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT A� <br /> 2814 Colby Ave 00439166801900 �' j/� -�,;' <br /> LEGAL LOTND. BLOCK TRAGT <br /> DESC. ]9 Re ZU 668 Everett Plat � <br /> OWNER ADDRESS CINIZIP PM NE <br /> Full Gos�l Mission (hurch 2814 Colby Ave Everett 98201 -' <br /> TENANT N 2ME ' I CONTACT FOR PERMIT , ' PHONE <br /> Adam C1arWGary Parkinson Ardiitects (425) 252-"L]53 <br /> CONTRACTOR . ADDRESS CITYIZIP PHONE <br /> (haner <br /> CONTR.LICENSE!! � <br /> i <br /> USE OF BUILDING HEAT SOURCE % CONTRACT PRICE OF WORK <br /> Chur.ch � _Elednc x Gas_Other w�l������� <br /> WORK DESCRIPTION <br /> Uemo existin€ columns Enr�i.nstal.lation of ne�,• L�I' beam. <br /> \ ,. <br /> .` <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> 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 renge <br /> Clothes washer `Clothes dryer <br /> Laundry tray _ R�nge hood <br /> Sink(servicelbar/mop/elc.) _ Exliaust fan <br /> Backilow preventer _ Heat dymp <br /> Urinal _ Unit heat@r <br /> _ Drinking Fountain Boiler � <br /> Floor drain Refrigeratior�� <br /> _ Greasetrap Othe�rstove �\ <br /> Root drains <br /> Olher — — � <br /> — —I <br /> � CI1Y OF EVERETT LOCAL SALES 1AX CODE IS 3705 <br /> I hereby ceritify that I have,tead and examined ihis application and know the same to be true and conect. Ail provisions of laws and <br /> ordinaces goveming this ty'pe of work will be complied with whe�her specified herein or noL The granting of a permit does not presume <br /> to give authoriry to violate,or cancel the provision of any other state or local Iaw regulating wnslruction or the performance of <br /> construction.That I am aulhorized by the owner of ihis property to pertorm the work for which application is made and I comply with the <br /> Stale lractors Law 18�ZR�W a 6.200 WAC. <br /> ,�, ,A , �L� S!/G%�= <br /> < < o Owner/ ontrador/� horized Agent Date �/L <br /> � <br /> i — <br />