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__ g _o3 - o <br /> PcRMIT APPLICATIVI�i <br /> CITY OF EVEF�ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, V1�A 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> SITE ADORESS g PARCEL TAX I.D.# PERMIT N <br /> � l.Vi.ii C...:�i ��0 �L�� �1 ZSi)i-//?c�[) iD/[/00 �GL7�J) 'V"-�"�' <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> [vtrNl l,jl��l/5 LLC. �13�; l�• n« �5E , K�:•G.a /�/ 1673�/ <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> �� r <br /> _ >�< it��� h' y`J.S �L'��� 11 '7 7c? iL _ <br /> CONTRACTOR �����J�- r;;� ,'����-� � ADDRE53 CITY2IP PHONE <br /> i�sa� �.,>i,�ii u�,y�c�c� �r <• ,� <br /> CONTR.LICENSE p <br /> ���.�� 7l�L`/r�iRC� /3.'•�/i��/ �-�,'� `1Y��!l �yz`�Jys> �.s'70a� <br /> USC OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> —---- _Electdc ,_Gas_Other � — <br /> WORK DESCRIPTION <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 1 oilct A/C-alr handling unils <br /> �alhtub Forced alr systems <br /> Lavalory(wash basin) Gas pipinc� <br /> Shower Water hoator <br /> Kilchen sink 8 disposal Gas lireplace <br /> Dishwashor Gasrange <br /> Clothes washor Clo�hes dryar <br /> Walor hoalor Range hood <br /> Sink(scrvicelbadmop/etc J Exhausl lan <br /> BackOow preveNer Hoat pump <br /> Urinal Unit haater <br /> Drinking Founlain Boilor <br /> Floor drain Rofrigeralion <br /> Greaso aap Woodstove <br /> Roof drains Olhar_ _ <br /> OlhAr __ <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br /> i hereby corilify Ihat I .iave read and examined lhis applicalion and know Ihe samo to be true ai�d coRocL All provisions of laws and <br /> ordinaces governing ihis typo of work will be complied wilh whelher specilied herein or not.The gi anling of a pertnil does nol presume <br /> to givo authority to violale ur cancol tho provision of any olhor stale or loca�law regulaling con:rtruction or the performance oi <br /> conslruction. That I am authorized by the owner ol this propeAy to pedurm lhe work tor which applicalion is made ana I comply with Ihe <br /> Stale Contractor 18.2 RCW. nd 296.200 WAC. <br /> �-� � �� -�-�- � <br /> Signature of OwnodConlr clodAuthonzed Agenl at� <br />