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P�RMIT AF�PLICATII,N <br /> CITY OF EVERETT PERMIT SERV�CES 5��-OS <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-fi810– FAX 425-257-8857 –www.everettwa.org 1 � ���� Zl <br /> (Jl <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# Pfi 71T# <br /> 612 14th St. (Yacht Sales) 290518�0204000 :�� _�L. <br /> LEGAL LOTNO. BLOCK � TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PiiONE <br /> Port of E��arett P.O. Box 538 Evemtt, 41A 98206 425-388-0630 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Everett 'iacht Sales Poli Luis 425-388-0630 <br /> CON7RACTOR ADDRESS CITYIZ�P i'HONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PP.ICE OF WORK <br /> X Eleclric _Gas Olher <br /> OffiCe — — <br /> WORK DESCRIPTiON <br /> Daralition of bi.ilding structure for the 14th St. Bulkhead replacerent project <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM17 NO. TYPE OF FIXTURE OR ITEM <br /> Toilel AIC—air handling units <br /> Bathlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower W ater healer <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> � Sink(service/badmop/elc.) _ Exhaust fan <br /> Back(low prevenler _ Heat pump <br /> I _ Urinal _ Unit healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap Woodslove <br /> Roof drains Other _ <br /> Other <br /> CITY OF EVERETf LO(AL SALES TAX CODE IS 3105 � <br /> I hereby ceritify that I have read and examined lhis application and know lhe same to be lrue and correcL All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whelher specified hereir,or not.The granting of a permit does not presume <br /> lo give aulhorily to violate or cancel lhe provision o(any olher state or local law regulaling consiruction or the per(ormance o( <br /> conslruction.That I � �hori ed by the owner of lhis property lo per(orm lhe work for which applicalion is made and I comply wilh the <br /> Slate Conlractors B. 7 CW and 296.200 WAC. <br /> ,j,�l,�i � . i G�, e�S <br /> Signalure of Owner/ � acto/Authorized Agent Dale <br />