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� < <br /> PtRMIT APPLICA�'IUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8�357-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � � .. po 0l- L <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> G c.�.� �1-�q,�._� �S�c�. <br /> TENANT NAME CONTACT FOR PEFMIT PHONE <br /> m N �9�� <br /> � Ta.��e5 S6[.Ycv��T'/t �Iz s 7(�p ��?�C� <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> ��GG r�/X��/7- /`�/Un�,+ii�vu i Li7/�• K Ari�ic I�� /1c� S�onw.,,� �/Z `� <br /> CONTR.UCENSE p U�;�-C/� ��O �7�'E <br /> /�l-L1?ii�?J� 7'/(� �9:2/ _ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ` /-[f-�/C�'7 �C'S _Eleclric l/_Olher '��� 5���� / <br /> WORK DESCRIPTION <br /> 1'!C� <br /> Ji/c���JG� I19 �� J 5� e. I.G�C,;i�a.�>c� `'--rs�r�•c+•»'L 2 �/va?'� <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> :r— Toilcl A/C—air handling units <br /> Balhtub Forced air systems <br /> � Lavalory(wash basin) _ Gas piping <br /> Shower Waler healer <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clolh�s washer Clothes dryer <br /> Water nealer Range hood <br /> Sink(cervicc/badmop;etc.) _ Exhausl fan <br /> Backllav prevenler _ Heat pump <br /> � Urinal _ Unit healer <br /> Drinkinc� Fountain _ Boiler <br /> Floor drain Refrigerelion <br /> Greass trap _ Woodslove <br /> Rool drains Other_ <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify that t have read and examined this applicalion anA know lhe same to be lrue and correct. All provisions of laws and <br /> ordinaces governing lhis type of work will be complieA�vilh whether specified herein or noL The granling o(a permit does not presume <br /> to give authonty lo violate or cancel the provision of any other state or local law regula:ing construction or the performance of <br /> conslruclion.Thal I am aulhorizad by Ihe owner of lhis propeMy lo perform the work for which applicalion is nade and I comply wilh the <br /> Slale Conlractors Law 1827 RCW and 296.200 WAC. <br /> '� �- , � `� -i �/��� <br /> �f5alure ol OwnedCD��ractodAuthonzed Agenl Date <br /> �------- ---- — <br />