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� <br /> � <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. Eb'ERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8Y5�-�wvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTI.D FROM 8 AM TO 4 PM �d � � Z_p.E <br /> SITE ADDRESS PARCEL iAX 1.0.M PE MIT K/, <br /> 3J10 Ced�r Stre�=.t (X)4390802(�300 ���7 � � <br /> LEGAL LOTNO. BLOCN TRACT <br /> oesc 3_4 R 5 802 <br /> OWNER AODRESS CITYIIIP PMONE <br /> Cedar Strect Mana�ement 1524 IJ Marine View Dr Gverett, 98201 (425) 257-9316 <br /> TENANT NAME CONTACT FOR PERMIT PMONE <br /> Scuttleiwtts Gary Parkinson (425) 252-2153 <br /> CONTRACTOR ADDRE9S CITY2IP PMONE <br /> Ca[[ne Constn�ction 10511 19th Ave S1: Ste C [:verett 98208 (425)338-2114 <br /> CONTR.LI�ENSE N <br /> CAI�F'NC1104KS 03/31/G7 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Bl'ewery _Electnc �Gas_Other $50,000 <br /> WORK DESCRIPTION <br /> Tnterinr �ccomnociation for brewery tanks. <br /> PLUMBING MECHANICAL <br /> NU. TYPE OF FI%TURE OR IiEM N0. TYPE OF FI7(TURE OR ITEM <br /> To�let A/C-air handling units <br /> 2athtub Forced art systems <br /> �.avatory(wash basin) _ Gas piping <br /> I _. Shower � Waler heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes w2sher Clothes dryer <br /> Laundry tray _ Range hood <br /> Smk(service/barlmopletc) _ Ezhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Untl heater <br /> Dnnking Fountain Boiler <br /> Floor drair Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SAI.ES TAX CODE IS 7105 <br /> I I hereby cenbfy that I have read and examined this apphcation and know the same to be true end wrrect All provisluns ol laws end <br /> ' ordmaces govemin9 Ihis type of work will be comphed wdh whether speaGed herein oi not The grenGng of a permit does not presume <br /> i to grve authority to violate or cancei the prov�sion of any other state or local law regulating constructlon or the pedortnance af <br /> � construct�on That I am authonzed by the owner ol this propeAy ro perform lhe work for which application is made and I comply with Ihe <br /> State Cahtracmrs Law 1B 77RC�N and 296 200 WAC . <br /> / ',� • � � ,' ,, � �„- - / <br /> i� . �. A.'...�. �. �1 _� �� 4. <br /> S�ure 0 OwnedContractorlAut�or zed Agent Date t/� <br /> r � <br /> '____ _ _ _ --- -- --- --- <br />