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( <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVEFETT, WA 98201 I l "16`O ] <br /> 425-257-8810- FAX425-257-8857-•niww.everettwa.org � D7�p-Oc�J <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT ii <br /> 55 5 Evsz��n.�Fn> Wr� �03 � o0 00 -O�_ <br /> LEGA LOT.N�07. BLOCK ryTR_ACT OR SUBDIVISION q <br /> DESC. C� l�I -00 f7tzV ^ 1- 1L1.S D1 V 4 <br /> OWNER ADDRE&S CITY/ZIP PHONF_ <br /> PQ.�.G iS�otii C� l� �s i'orJ 5So5 ��;ZaCTe�:�,.> �JA`l � �vi-t.;��zrtT �j '37o3 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE y Z 5_C���- "}�j'ZS <br /> ���,Q,.p2iS` Q. �J'�- A-Lpt�. uA�NYc.l,��i k�=rN E-MAIL bh��N����F.•I<rt�✓.JE�i <br /> C�NTRAC�OR J�NT N�iOh� C.ciJG ��fi S DRESS C TY I / HONE 'F R.la� � <br /> (� E 3,C�21 Cr}�Kwio��T �•Nft ,T,A�`p,�1�u422 -7 <br /> CONTR.LICENSE N 2 5�3-3�'�'Cu'�0��T <br /> Pavi d-1� < l_ o0 1 W�2 _ <br /> L'��OF BUILDING I HEAT SOURCE I CO�TR�5A�3CT PRICE F WORK <br /> � bccv �Nn�G� _Electric �Gas_Other �%'6��,I'1��3��00c� <br /> WORK DESCRIPTION j�Nq� �w��+oviw.c�ni� , iJ�Lw ���a-���^� wr�c�-S� f�c-pf'�i'� I�+rct�� <br /> L.�...TC.t� L�b-H��N��ftt.�cYvzi'c�a� R.r v�s�c„�S �wn INfi.CNAN�CHL 2�viSiw�s rp <br /> '�r� �r��o,-.2 DFS�ur�ro.NF-w ��v,c. in, sr���r_o ��c,�. rrtc rti�T�nb- �arr-�r�i�nisrt <br /> � ��2 CZC�L�•Jri\L /��2f�A � 1�przLt5��N COI��S�w��S Rr�c��n�� ��rA • <br /> PLUMBING �LnpQ� h1ECHANICAL T�tnor.n� <br /> NO. TYPE OF FIXTURE OR ITEM ��5��� N0. TYPE OF FI%TURE OR ITEM �7r S�(�nJ <br /> Fuc�sT,�i <br /> Toilet IUo�u-P�-W��SrifJ A/C-airhandlingunils <br /> Bathtub forced air systems <br /> Lavalory(wash basin) _ Gas pipin� <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas fire�lace <br /> Dishwasher Gas ra�ge <br /> Clothes washer Clothes dryer <br /> Waler healer Range hood <br /> Sink(service/bar/mop/etc.) _ Exhausl fan <br /> 8ackflow preven�er _ Heat pump <br /> Urinal Unil healer <br /> Drinking Founlain _ 8oiler <br /> Floor drain Re(rigeralion <br /> Grease trap _ Woods�ove <br /> Roof drains _ Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y that I have read and examined this applicalion and know the same to be Irue and correct. All provisions of Iaws and <br /> ordinaces governing this type of work will be complied wilh whether specitied herein or not.The granting of a permit does not presume <br /> lo give authonly to viola�e or cancel ihe provision of any other state or local law regulaling cons�mction or the pertormance of <br /> conslruclion.Thal I am aulhorized by�he owner o(lhis property to perlorm lhe work for which applicalion is made er,d I comply wi�h ihe <br /> S�ale Conlraclors Law 1 7 RCW and?96200 WAC. <br /> -2d-o� <br /> SignaWre-o Ow dCon acbdA � nzed Agen� a e � <br /> Z <br />