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. � <br /> PERMIT APPLIC�`,TIaN <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 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �I cI l 9 EUery�ee�.. W . Gb581 ooaoo�oo (Y� �5-c72� <br /> LEGA lOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> Zs�� �"�trnr(7e(' �+'/4sSz. G.� ��c�s S-f' Sfe 2/0 98/os <br /> TENANTNAME CONTACTFORPERMIT PHONE �0(o-6�T-3/.Sa� <br /> ; ��C � �!'bD�S E•MAIL 11'l�W��L��✓rea..�ivac. <br /> \ �ONT A T R��f re� �I� ��^ ADDRE ITYZIP P E <br /> iTl <br /> � � �2� S. I��1Jon S+- Se,�� SeioP ax->rs-���ir <br /> \CONTR.LICENSE# �V�n^ n, 95��I�2 <br /> KCSKL <br /> �SE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> . '� <br /> _Electric �Gas_Other ,��v���� <br /> WORK DESCRIPTION <br /> �LB��ccc ��Sfiny /z� <br /> O <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel AIC—air handling units <br /> Bathlub Forced air systems <br /> Lavalory(wash 6a�in) / Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas(replace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sink(service/badmoplelc.) Exhausl fan <br /> Backllow prevenler / Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodslove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certify Ihal I have read and examined this applicalion and know the same to be true and correcl. All provisions of laws and <br /> ordinances governing lhis type of work will be complied with whether specified herein or nol.The granling of a pertnil does nol presume <br /> lo give aulhority to violale or cancel lhe provision of any other stale or local law regulating consUuclion or the performance of <br /> consiruclion.That I am aulhorized by ihe owner of ihis property to por(orm Ihe work(or which applicalion is made and I comply wilh lhe <br /> Stale C tra ors Law 1827 RCW and 296200 WAC. <br /> 2 y�i�� <br /> 37gnaWre of OwnedContrector/Authorized Agent Date I <br /> �Z <br />