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� <br /> PERMIT APPLICATION <br /> CITY OF EVEF�TT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—v�nn+w•everettwa.org <br /> APPLICATION�ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PARCEL TAX I.D.Yi PERMIT/1 <br /> SITE ADDRESS `7 - <br /> 1201 PACIFIC AVE o0a3�5�21o�z0o �7 �i > 3 � ' <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC <br /> OWNER <br /> ADORESS CIN21P PHONE <br /> NORTON PROPERTIES LLC 1201 PACIFIC AVE Everett98zot 425-308-0609 <br /> CONTACT FOR PERMIT PHO��E <br /> TENANT NAME 206-774-9499 <br /> Jennifer Burgess <br /> CONTRACTOR ADDRE55 dTY21P PHONE <br /> WESCO 3909 196 St SW� Lynnwood 98036 800-398-4663 <br /> CONTR.LICENSE N�n/ASH I ES97�,.JB <br /> USE OF BU�IDING V HEAT SOURCE CONTRACT PRICE OF WORK <br /> COMMERCIAL I _eiecc��� i�cas_otne� I $2500 <br /> WORIt DESCRIPTION <br /> Gas to gas 75 gal water heater <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIY,TURE OR ITEM <br /> Toilet _ A/C–airhantlling units <br /> Bathtub _ Forced air systems <br /> Lavatory (wash basln) _ Gas piping <br /> .-- i Water heater <br /> Shower — <br /> Kftchen sink& disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Cbthes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/barlmop/etc.) _ Erha�sifan <br /> Backflowpreventer _ Heatpump <br /> Urinal _ UnR heater <br /> Dnnking Fountain _ Boiler <br /> Floor drain _ Refriyeration <br /> Grease trep ,_ Woodstwe <br /> Root drains _ Other <br /> Other — <br /> dN OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerRify that I have read and ezamined this application and hnow the sama to be true and correct. All prwisions ol laws and <br /> orAinaces governing this[ype ot work will be compl�etl with whether specitied hereln or not.The gran4ng of a permit does not presume <br /> to give authority to violate or cancel the provis�on of any other st�te or local law regulating oonstruction or the pedormance o1 <br /> �onstrudion. That I am authorized by the owner of this property to perfo��m the vrork tor whkh application is made and I comply wtth the <br /> Stale Goniractors Law 1827 RCW antl 296,200 WroCry M Nne�gry <br /> Jennifer Burqess °;�,,,�����:,:,����:��'.�,s,w,M�,.o�,,�n.,��, <br /> Sgriature ot OwnerlContracto Authon.ed � n � ��' � ' � ' ate <br />