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i <br /> I F-ERMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT,WA 9$201 � <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM >`,y_�g <br /> SITE ADDRESS PARCEL TAX I.D.# PERM i/�_O� .; <br /> .�5�4> �i�i�G�'-�`' C�1A'`( 00 �.3 OU I n0�'1�� /Vt �� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS ' ��OC��IP�� PHONE � <br /> SCa�tT �'-�n�S,`�IpE 6130 I�►d��r�} 2D 9�O�Z GZ:-y�fr-4� � '— <br /> TENANTNAME CONTACTFOR ERMIT PHONE <br /> ���cr5ian� Ca��ls)o�J h(�Ya-n� �flDCu� ��Z>E-M L5 �4rG;` I <br /> CUNTRACTOR ADDRESS CITYIZIP PH NE <br /> bRY' �fn/�r� p����!r �lfTG- lL-+�1�( /3,.`f� /?�P.u7. ��(Nr�wo� �(25 7�5-Gy(o%' <br /> CONTR.LICENSE# Gi��j 7 <br /> DA-�i✓ZPN4i1U�'<-r' --- <br /> USE OF BUILDING I I�EAT SOURCE CONTRACT PRICE OF WORK <br /> �Eleclric _Gas_Olher yY � (,,,�(/Vi V V <br /> WORK DESCRIPTION ����C� Gxi�n�G � �� ��CF�� u�!j WITff -`�q'�'P <br /> SI ZE N'eccJ Gt N �j� Snl S�M� LOC'}�rlo�J • <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Bathtub Forced air syslems <br /> La��atory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas fir�p�aco <br /> Dishwasher Gasrange <br /> Clotnes washer Clolhas uryer <br /> Wafer healer Range hood <br />� Sink (serviceNarlmoplelcJ _ Exha�istf�n <br /> Backfiow prevenler _ Heal pump <br /> Urinal Unil healer <br /> Drinkinc� Fountain _ Boiler <br /> Floor drain Refrigeration <br /> _ Grease lrap Woodstove <br /> Roof drains = Olhcr .P��.r_,T:�%'� Gl !'r <br /> � Olher — I = ------ �---..__._.� <br /> � — . -- _ <br /> CITY OF EVERETT IOCAL SPL'cS TAX CODE IS�iO3 <br /> I hereby ceriti(y thal I have read and examined lhis application and knovr the same to ba true and correcL All provisions o�ia��s�oC <br /> ordinaces yoverniny this rype o(work will be complied wilh whelher specified hemin or nol The granling of a permil does nnt pn��!ar� <br /> �o give aulhority to violale or cancel the provision of any olher state or Iocal law regulaling construction or the pertormance nf <br /> construclion.That I am aulhorized by lhe owner o(this property to perform lhe work tor�vhich applicalior is made and I comp�;Y/+L����In. I <br /> Slale C n)reclors Law 18. W nd 296.?00 WAC. ' <br /> .,�,�, �-�� � .7 ��� , <br /> Sign�tffro f' rvnerii.onlraclodAull riz r.':it�_- D e <br /> � <br />