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09/14/20�4 15:06 3684285659 COMMERCIAL PLUHBIIJG PAGE 01 <br />- ; <br />, P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — �yww.everettwa.org ,_ „ �� _/ �/ <br />rV� / <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTEp <br />sITB ADDRE55 �130 f�QN PARCEL TAX I.D. iF PERMI7 N <br />C�� I zSf7SO"1 Oo'3p`1000 I PA�iO� ^O2t <br />LEGA� L07 N0. OLOCK TRACT <br />TENANTNAME <br />� NOV' � � OiIL LVl <br />CONTRAC70R C'�( (,�yt,�,�� ,,�j„�L <br />coNrr�.. ucENse a <br />c�a ��. l�'.��- <br />USE OP BLlIL01NG I <br />CONTACTFORPERMIT <br />AODRE9S CITY2IP <br />��'00 �Yal`,J'o.[�� j1� <br />HEATSOURCE <br />_ Eiechic _ Gas _ Other <br />CNONE <br />PHONE <br />� �IzB S`��, <br />PRICE OF WORK <br />'�I,�to3.o <br />wo��,s�u ���s P���K� � Gi7-wcc�-i.o,, �oJ G 1 4cb,000 �i ww�-��ioa-�' <br />� C�l ��;� � �o�> �y.e.�- <br />NO. I 7YPE OF FIXTURE OR ITEM <br />Tollet <br />Bathtub <br />Lavatory (wash hasin) <br />Shower <br />Kttchen sink & dlsposal <br />Dishwesher <br />Clothes washer <br />^ Laundry Vay <br />� S(nk (eervice/bar/mop/etc.) <br />6ackflow prevanta� <br />Udnal <br />Ddnking Fountaln <br />Floor d�aln <br />! Grease trap <br />Roof dralns <br />Other <br />N0. I TYPE OF FIXTURE OR ITEM <br />PJC - alr handling units <br />_ ForcBd eir systems <br />� Gas piping <br />_L Water hoel0f <br />_ Gas flreplece <br />_ Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />UNf hester <br />Baller <br />Rafigeratlan <br />— woaastove <br />ONer <br />� <br />CITY OF EVERETT LOCAL SALES TAX GODE 19 �105 <br />I hereby coritify thet I have read and examined this application and know the sema to betrue and ccrrect All provisions ot laws and <br />ordinaces govarning this type aiwork wlli 6e complled with whether specified herein or not 17ia grantlng of a pem7lt does not preaurtle <br />to give authonty to Wolate or cancel the provision of eny other siale or local law regula6ng conswcUon or U!0 perforttl8nce of <br />c�nsWctlon. That I am authonzed by the osvner of lhia property ta perfortn the work for which applicatlon is m2de and I ecmply with the <br />State ConVactors�.aw',8.Q7 RCW and 296200 WAC. , . <br />