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P�RMIT APPLICATIC��V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, V�"A 98201 <br /> 425-257-8810— FAX 425-257-8857—www. ;verettwa.org <br /> � �,,,� APPLICATIONS ARE ACCEPTED i ROM 8 AM TO 4 PM �d�fl`�� <br /> °STfE ADf)RESS PARCEL TAX I.D.# PERMIT# <br /> 0 23rd Drive �9est 28040200300100 � <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY�ZIP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Pacific Coast t1arine Diane Ninton 3ti0-o51-7701 <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> Smith Fir� Systems 3813 168th St. NE Arlington, WA 360-651-7701 <br /> CONTR.LICENSE# Suite 1 98z23 <br /> SMITHFS1360T <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas_Olher S 1950.00 <br /> WORK DESCRIPTION <br /> Extening extisting system to Protect new grinding room. (4 Heads ) <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel WC-air handling units <br /> Bathlub Forced air systems <br /> _ Lavalory(wash basin) _ Gas piping <br /> Shower Waler healer <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Cblhes dryer <br /> W2ter heater Rar.ge hood <br /> Sink(service/badmop/elc.) _ Exhaust fan <br /> Back(low prevenler _ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease lrap _ Wocdstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity that I have read and examined this applicalion and know the same lo be true and correct. All provisions of laws and <br /> ordinaces c�everning this type of work will be complied with whether specified herein or nol.Tho granting of a permit does not presume <br /> to give authorily lo violate or cancel the provision of any ofher stale or Iocai law regulaling construcGon or the performance of <br /> conslruction.Thal I am autt�orized by lhe owner of this property to perform lhe work for which application is made and I comply wilh the <br /> Slale Contrectors Law 1�27 RCW and 296200 WAC. <br /> I <br /> �;�...� � � � o _ ,o . oG I <br /> SignaWre of Owner nlractor/Authonzed Agent Dale � <br /> 1 <br />