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� �b <br /> � PERMIT APPLICATInN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3100 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.t! PERMIT# <br /> W •' /� � � <br /> �. L.�,s��,e �Y. �i�er e� wfl � — <br /> LEGAL LOTNO. �` ''�'l BLOCK [T�RACT /n/{ /A+ -}1- <br /> UESC. ��� J� /_Mvti,1�(� / •PCTI�NCM�s <br /> OWNER ADURESS � C�TYZIP PHONE <br /> �.�s;fF GrF. l ��2 ��l�ir��hJayNf: /�a ��F.f� /1//T �415�7$9-5700 <br /> TENANTNpME � CONTACTFOR�PERMIT , PHONE <br /> Gr��� —��.-��.��;' �4Z.,j ����-�.�.zz <br /> CONTRACTOR ADDRE �9S'� CITY2IP PHONE <br /> �,re�:�t R,•;F..,.. �c c :2i�3zM 9- -- [�� _ B�t�r�l,wA �o:i C��S�7�n-�.�.z <br /> CONTR.LICENSE B J <br /> USE OF BU�LOING I HEAT SOURCE CONTRACi PRICE OF W[)RK— <br /> R�_���:,�+,�,/ _Eloclric _Gat__O�her �� ����� <br /> c�.�. <br /> WORK DESCRIPTION / � <br /> �j „�7 / L - /, <br /> �"�C � 7'Jd�i^\ i - - /n� ..T u�i.vlr-POi.��M .SN���jt'/ U�lJ- .lr-�'�� 3't.ctl �On+�> ��D <br /> I c,� v � <br /> J <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO TYPE OF FIXTURE OR ITEM <br /> Toilol A/C—air handling unils <br /> Balhtub Forced alr syslems <br /> Lava:ory(wash basin) _ Gas piping <br /> Shower Water hoater <br /> Kitchr,n sink 8 disposal _ Gas fireplace <br /> Dishwaslior Gas range <br /> Clothos washer Clothes dryor <br /> Water hoalo: Range hood <br /> Sink(scrvica/badmopletr,.) _ Exhaust fan <br /> Backllow preventor _ Heal pump <br /> � Urinal Unit heater <br /> Drinking Foun�ain _ Boiler <br /> Floor drain Relrigeration <br /> Groase trap _ Woodslove <br /> Roof drains Othor <br /> Other <br /> CITY OF EVERETT LOCAI SALES TA%CODE IS J705 <br /> I heroby cerilify Ihal I h�vo read and examined Ih�s application and know lhe same to be true and correct. Ail provisions o(12.vs and <br /> ordinaces governing this type ol work will bo compf�,d with whelher speci(ied horein nr not.The granting of a permil does nol presume <br /> lo give aulhonty lo violalo or cancel Iho provision 1 any other state or local law regulating construclion ar lhe perfortnance of <br /> construction.That I am authorizoJ�y the ownor f this property to perlorm the work for which application is made and I comply with the <br /> Slate Contractors law 78.27 RCW and 2962 WAC. <br /> �7` '^ 5 � 2? ob <br /> Signa�ure of Owner/Coniractor u onz Agent Dal <br />