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rtRMIT APPLICAI �ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org �� -a 3��� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM M�C� ��. Q3' 9 <br /> SITE ADORESS PARCEL TAX I.D.# PERMIT N <br /> ��:� G � ✓ �� - - <br /> LEGAL LOT NO. ^ BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> /� %1 /�" ��tcl� r �n � < < <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> E•MAIL <br /> NTRA T � PH g-- <br /> �r� � � � c' .:s �y C�sa,�,« ti.,,� ��.� c-,�,., �- ia z 5- �3 z-IQO�-{ <br /> CONTR.LICENSEp1� vc� �iy�k q �—Uz-�Z,r�j , �i'£�zu? <br /> ll <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric �Gas_Olher �O l.J <br /> WORK DESCRIPTION <br /> ��Y'1 �C:S ��p� .�� tv ��e�-� r:�_s l�c`-k.r - �p <br /> `J <br /> {`�urv�b�n �� �c�}+�clw <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilcl A/C-air handling unils <br /> p������� Forced air syslems <br /> Lavatory(wash basin) � Gas piping <br /> Showcr Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes�vashcr Clothes dryer <br /> W21en c�aler Ranc�e hood <br />� Sink(service/badmoplelc.) Exhausl(an <br /> Bach(lo�.v prevenler _ Heat pump <br /> Urinal Unil healer e(�*S <br /> Drinking Fountain � Boiler `� <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> � CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I hereby cerilify Ihat I have read and examined Ihis application and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces governinp ihis lype o(work will be complied wilh whelher specified herein or noL The granting of a permil does nol presume <br /> lo give authority lo violate or cancel the provision ol any olher slate or local law regulating construclion or Ihe pertormance of <br /> conslruclion.Thal I am aulhorized by Uie owner of this pmperty to pedorm ihe work for which applicalion is made and I comply wilh the <br /> Statc Conlractors Law 1f1.27 RCW and 296200 WAC. <br /> T� //�23 ��4' <br /> � � <br /> Siynalure o(OwnedCon(raclorlAulhonzed A�enl , Da�e <br />