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PERMIT APPLICATIOnI <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 )d �-g-�-{'� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT ii <br /> 2�::t UJ�1-rhore A�1e� ooN�1 2 <br /> LEGAL LOT NO. BL�O"C1-K� TRACT OR SUBDIVISION# <br /> DESC. ;r � �ZU!v-w <br /> OWNER ADDRE55 CITY/ZIP PHONE <br /> (�1G1'�t�l �.�1-t� t23�f�� ►��e.. ��,� (Na5) z�i - (d�CnS <br /> TENANT NAME CONTACT FOR PERMIT PHONE z�j GJr�—�G� <br /> �'JS� ��f�- `� /�,�� ✓ <br /> '� ' """"" 1 �rl �C I.SD� �� �iim G1�,r E•MAIL � <br /> NTRACTOR ADDRE � <br /> �uP��.�o�,, �P ���� sE �s-��+-�,'�s'�w2s� �s►-o��3 <br /> CONTR. ICENSE# <br /> l,�. F-/29�/(� <br /> USE OF BUILD�NG ����� HEA SOURCE CONT '�PB�0�`WORK <br /> r <br /> '� .� <br /> � \�2 C�n'�P�� _Eleclric _Gas_Other — <br /> WORK DESCRIPTION <br /> ��e�,oi�-t�o� o�-ex��-� bu��d�� (du�,-�o-�reda�m�� do�n <br /> Xo -w�e ex�S , s-1-��� Sr�. <br /> ' PLUM NG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> [3athlub Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Showcr Waler heater <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Walcr healer Range hood <br /> Sink(servicelbadmopletc.) _ Exhausl fan <br /> Backtlow prevenlcr _ Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Olher _ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify Ihal I have read and examined lhis applicalion and kno�v Ihe same to be lrue and correcL All provisions of laws and <br /> ordinaces govr.ming this lype ul worh will be complied wilh whelher speci(ied herein cr nol.The granting of a permit does not presume <br /> lo give aulhority lo violate or cancel the provision o(any olher st�te or local law regulatinc�wnsiruction or Ihe peAormance of <br /> � conslruction. That I am authorized by Ihe owner o(Ihis prooerty t� perform the work lor which application is made and I comply with the <br /> Stale Contractors!aw 1827 R' ' an��,29G.200 WAC. � <br /> I ,� ����---- � e '�h <br /> I Signa�ure of OwnedConlracloriAulhonzed Agent Dale <br /> � <br /> � <br />