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-- <br /> PERMIT APPLICATION <br /> CITI�' OF EVERETT PERMIT SERVICES <br /> 3�00 CEDAR STREET, EVERETT,WA 98201 <br /> 425-2�7-8810– 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 /> ��SJO vCv r. GY�3R 3 2GG CO 00 .=J�r�,IU �� �`� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. � O�I �'OO ��.U�.irl �"�1�`S ��V `F <br /> OWNER ADDRESS CITY2IP PHONE <br /> � 5�0� e rzev-� E��✓c� y��) 3S'3-3�11 <br /> Sro-�. � Chr�s(-y Ftev1S� �ct� � � W°<1 i s'ao3 � <br /> TENANTNAME �Dt3F�; En{�vPV�sc �nf�q-�•n � CONTACTFORPERMIT PHONE �cf.as� 9�:�"�.S�aS <br /> � �" fn(cr ✓irC �4✓SaltS I�iC(�t-�(Z Keev, <br /> Yiv�'L"�•V(�I�ISL �.C'�lS�n, �OV'YlrJal'1V Q Ae�rn . e•rnn�� m��.heuc.�e�n� ev4c.(��Y� <br /> C NTRACTOR d� ADDR SS CITYlZIP PH�NE <br /> Culber-15a��S1qn Ser��ce S'�o`i - ��a'^"� 5���. (a�;) �c,3-3$3i <br /> GONTR.LICENSE# f b Tp���..��� W/� �gyY�„ <br /> CU�'F3�SS�'Y`�I VhU QI�I <br /> USE OF BUILDING '�y�c�s;oi� Cet(iSion, HEAT SOURCE CONTRACT PRICE OF WORK <br /> ���'�Y�r�S� ��} A �"�' �� Eleclric Gas Other ��g04 <br /> ti.+n-EP�d'(�sG �.«-V Sa.(CS — — — <br /> WORK DESCRIPTION <br /> �v�s(n-(i hew �.�cte s��r� . IZelmove olc� pole 5��� • <br /> PLUMBING MECHANICHL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling unils <br /> Bathlub Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kitchen sink&disposal Gas(ireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sink(service/bar/mop/elc.) Exhausl fan <br /> BackOow prevenler Heal p�mp <br /> Urinal Unit heater <br /> Drinking founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap Woodstove <br /> Roo(drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify thal I have read and er;amined Ihis application and know lhe same to be lrue and correcl. All provisions of laws and <br /> ordinaces goveming lhis type o(work will be complied with whelher specified herein or noL The granting of a permit does not presume <br /> lo give aulhority lo violale or cancel lhe pro��i:.ion of any olher slale or local law rec�itlaling conslruction or lhe periormance of <br /> conslruction.That I am authorized by the owner of lhis property lo perform Ihe work(or which application is made and I comply wilh Ihe <br /> �t�tc Conlrac�ors Law 18.27 RCW and 296.200 WAC. <br /> `'�,_ -,� 10(�:�(o� <br /> �, v <br /> -� n�tur o( wner Conlraclor/Aul ionzed Hg�nl Date <br /> �� ��le:.�r�s� L��Lsi�,y Co�r.�ny, I�Z <br /> c�, 1.�,�C�i�— — — <br />