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( � <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # <br />3402 McDougall Ave. Everelt, WA 98021 004373B1701700 <br />LEGAL� LOT NO. I BLOCK <br />DESC. I�.\'Iilth�fTUl�'lil'I..\f x17U�On <br />sn�uiio�nsii co i�izoi� nacnrr <br />TENANTNAME <br />TRACT OR SUBDIVISION # <br />L( ) I ti 17 'I I IItU t_.I Nl l, <br />3000 IZOCKGI�I:LI.I:R AVI: �1/S 40�J -GVIiRI�I l'. 11'A 9S?01 <br />I CONTACT FOR PERMIT PHONE 206-624-4222 <br />PERMIT # <br />�v�a'\O-- OC.�Z <br />425-388-3411 <br />Snohomish County Public Works � Samuel McPhelres E•MAIL samuel@rolludaarchilecls.com <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />CONTR. LICENSE # <br />USE OF BUILDING <br />Moderate Waste Facilily Gisposal <br />WORK DESCRIPTION <br />HEATSOURCE <br />Elec�ric X Gas Other <br />Constmction of a Dewntamination Room in Ihe Snohomish County Moderate Risk Waste Facility. <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />DalhWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />C!olhes washer <br />Waler heater <br />Sink (service/badmopletc.) <br />Back{lovi preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />CONTRACT PRICE OF WORK <br />5133, i 75.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Oluer <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby ceriti(y that I have read and examined this application and know the same to be �rue and c�rrecl All provisions of laws and <br />ordinaces governing lhis type of work will be complied �vith whether specified herein or nol The granting of a permit does not presume <br />to give authorily to violale or cancel the provision of any other stale or local law regulating consWction or the performance of <br />ccnstrucypn. That I am aulhurized by Ihe owner of this property to perform the work for which application is made and 1 comply with the <br />St�Cbntractors La�ti18.27iFlCW and 296.2001NAC. <br />