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• • � l � . � <br /> PERMIT APPLICATION - ���� �'� <br /> CITY OF EVERETT PERMIT SERVIC � <br /> 2�';0 <br /> 3200 GEDAR STREET, EVERETT, WA 98201 G�C �3 , c; <br /> 425-257-8810-FAX 425-257-8857-www.evereNwa.o � ��<I�- <br /> APPLICATIONS ARE ACCEP'TED FROM 8 AM TO 4 PM 4U$�lC��..� <br /> $���p�gg pARCEL TAX I.D.N �R�T� <br /> 11114 Evergreen Way �b�$d�bO04'429�030D OO � - <br /> LE LOT NO. ��K T�CT <br /> DESC. <br /> OYYlIER dTY�P PHONE <br /> Evergay Properties, LLC 2829 Rucker Ave Everett, WA 425-339-3638 <br /> hNANT NAME I CONTACT FOR PERMIT PHONE <br /> Tax Services of America COntractor/Elisa JAcoby253-627-7446 <br /> C��CT� �ppp�g CITY/aP PHONE <br /> American Neon, Inc 9402 .s9th Ave CT SW Lakewood, WA 98499 <br /> CONTR.UCENSE i 2 5 3-6 2 7- <br /> amerini002D8 <br /> USE OF BUILDNHi — HEAT SOURCE CONTRAC � MIORK <br /> Tax services EleGiic _Gas_Other <br /> WORKDEBCRIPTION �NStftU� OA)E 2'x �2�9,n5ET O� c_t-1<1Nn1EC., � ON <br /> �W�y , � cus-roM6Rs s�r�w�, aN ��su� . <br /> �Nrc-�►�. NcoN � �wM,�N��o�• <br /> PLUMBING MECHANICAL <br /> lip. TYPE OF FIXTURE OR 17EM N�7. TYPE OF flXTURB OR ITEM <br /> Toilet _,_ aC—airhandlingunits <br /> — ��b _ _ Foroed eir systema <br /> _ Lavatory(waeh basin) -- �8 Pro"� <br /> Shower _ Water Mater <br /> Kitche�sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clothes wast�,:� _ Clothea dryer <br /> Laundry Vay _ Range hood <br /> Sink(servioe/badmopletc.) _ F�chaust fan <br /> Bedcflow praventer _ Heat pump <br /> Urinel _ Unit heater <br /> Drinking Fountain —. ���� <br /> Flaor drain _ Refrigeration <br /> Grease trap _ Woodstove <br /> Roof dra(ns — �� <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br /> I hereby coridy thet I have read and examined thic applicetbn and know the same lo be true and correct. All proviaione o(�aws and <br /> ordineaea goveming thia lype of work v.ill be complied with whether specified herein or noL The prandng of a psrmit doea not Dre'urt�e <br /> to give authority to valrie or cenoel the provision of any other stale or local law repulatinp conatrudion or the perfortnanoe oi <br /> conatrudion.Thet I am authorized by the owner of thia property to peAortn the woAc for which epplkation is made and 1 comply w�tl�the <br /> State Contradors 1 RCW and 296.200 WAC. <br /> S'ignffiu / ntra�S Au onze ent Z� <br /> %a <br />