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F�RMIT APPLICATIUN <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 �_ a�_oq <br /> SITE ADDRESS Z��� I.b���pulY P.Yc. �'2°� PARCEL TAX I.D.p ERMITp <br /> �U�101 - �� <br /> LEGAL lOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER �wi CJ���,��,� ZN���,t��S ADDRESSI{�(r, W 3ythT�x«an¢ir PHONE <br /> �. ralm C�fu,F� 34�yD <br /> TE4ANTNAME CONTACTfORPERMiT pHONE <br /> E•MAIL <br /> N RA C �L{.� a -.�� S�y lll� I I, <br /> CqlhniftF4�4� �'LSL �IT.��}$d'—D12�f <br /> CONTR.LICENSE#�7r';ry��� �lzl��i <br /> )I � <br /> USE OF BUILDING C�=r�cre JS�crw�t. I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eledric Gas Olher �j7����— <br /> WORK DESCRIPTION E�y�+-<< ��1, Gta,� w'rf P+rc .��-u�t ,1+�1Tcn, t�t L�. �' �''' ��''��� <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toiiel AIC-air handling unils <br /> — g�p���� Forced air syslem; <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasranc�e <br /> Clolhes washer Clothes dryer <br /> Waler hea�er Range hood <br /> Sink(servicelbadmop/etc.) Exhaust fan <br /> Backflow prevenler _ Heal pump <br /> Urinal Unil healer <br /> Drinking Fauntain . _ Boiler <br /> Ploor drain Re(rigeration <br /> Grease trap Woodslove <br /> Roof drains � Olher 2�3 /-�«�`� <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1705 <br /> iI hereby c�ritify that I have read and examined this applicalion and know lhe same lo be Uue and correcL All provisions of laws and <br /> ordinaces governing Ihis lype o(work will be compliad wilh whelher specified herein or not.The granting o(a permil does nol presume <br /> to give aulhonty to violate or cancel Ihe pro��islon ol any other state or local law rec�ulaling wnstruclion or the performance of <br /> construclion. That I am authonzed by lhe o�vner o(this property to periorm lhe work tor which application is made and I comply with the <br /> Stale Conlraclors Law 18.27 RCW and 296200 WAC. <br /> � 's W`h�ht � <br /> Signal��ure ol O edContraclodAulhonzed Agent Da�e ,I <br /> L <br />