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P�t�MIT APP�IC�.TIC�N <br /> i�ITY CiF EVERETT PERMIT SERVICES .C'/�� <br /> 3200 CEDAR STREET, EVERETT, INA 98201 �� �����i <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org l �; <br /> APPLICAT�ONS ARE A�CEPTED FROM 8 AM TO 4 PM � <br /> SITE ADDRESS YARCEL TAX I.D.# PERMIT# <br /> I %I a�,.��;' �O� �'9 - "C�I �`�/Z- ()Z`� <br /> LEGAL LOT NO. BLOCK TRACT /� <br /> DESC. I—'�� �i�`� EiG�1�T`� �+T��T1I.J <br /> OWNER ADDRESS CIN/ZIP PHONE <br /> i <br /> ,��'� ��--�;,^t' ��'-�-r� ► -�c.�-� e�i' _ <br /> TENANTNAME �- CONTACTFORPERMIT � �.- � /�'�,7PHONE <br /> i.. - � . . � . . _ :-.,� _. <br /> . , � � '/� � -���� ��,7 c � � <br /> ;-�,'t-( 'f f�-J_�'� ! / -.� ��'�J <br /> CONTRACTOR � � a .t���y � ADDRESS I,L��o �£ �y'F'1� C�rY��PHQNE �7-� <br /> v� �.� � uny <br /> CONTR.LICENSE# ���' <br /> M�r1o��'-� l�icN�C �,�r� �//r� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> l.� �1^L� C'c-1-TC"L NICi? �'Ft=i�'C��� _Electric �_Gas_Othei ����� <br /> WORK DESCRIPTION r � <br /> ..� 7 j� / , � � f. <br /> ;;�C.Gti' ( C[/Y,'Cv1/ � C�l�'�i,2/ <br /> PLUIYiBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM \ N0. TYPE OF FIXTURE OR IT[�d <br /> _� Toilel � FJC-air handling units <br /> Balhlub � � Fnrced au sys�ems <br /> �( Lavatory(wash basin) �(� �as piping I <br /> `Shower \ Walerheater <br /> ?� Kitchen sink&disposal Gas fireplace ���n'�"'�� <br /> _� Dishwasher _ Gas range �� <br /> Clolh�s washcr _ Flothes dryer <br /> _J_ Water li@ater �1-CEtJTI'+s-�_ 5`ty�T� a4�nge hood <br /> �1; Sink(serJiGe/bar/mop/etc.) � Exh ust(an <br /> � Backtlow pr�venter _ Heat ump <br /> � Urinal � Unit he ler <br /> _L Drinking Founlalq l! Boiler <br /> I"L Roor drain —' Retrigerah n <br /> � Greasetrap �5� �Gi� Woodstove <br /> Roof drains _ Other <br />�� _ Other \ _ � — <br /> \ <br /> — � — <br /> � <br /> `�, CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby ceritity lhat I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> aidinaces goveming lhis lype of work will bs complied with whelher specified herein or not The granting of a permit does not presume <br /> b give authority to violate or cancel the provision of any other stale or local law regulating consWr.tion or lhe performance of <br /> construclion.That I am authorized by lhe owner e(Uiis properly to peiiorm the work(or which applicalion is made and I comply with Ihe <br /> �tate Conlractors Law 18.27 RCW and 296.200 WAC. <br /> Si,ynalure o(OwnedContraclor/Authorized Agent Date �/� <br />