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`�3 �6l0 <br /> FcRMIT APPLICATIVN � <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 320U 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 C PARCEL TAX I.D.N PERMIT N S� <br /> � �l.'L.S� C�.�1S, ilJ Rc'c�c! 2L'�c>�/30c��o1 �-/OU -(/ C� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> rv�r��! l�lr.a�, L�c i3� 1�� � ��. �c , k.., l„« /l/ 9c,15�/ <br /> TENANT NAME I CONT/ "FOR PERMIT PHONE <br /> S'�, , ,��� a-y�s �1��> zz •; - ����,o <br /> CONTRACTOR ��, ., �,� ��' ` � ��,�5 ADDRESS CITY2IP PHONE <br /> /752Z /i:�h�!l [�ay�1'E, SFt i� <br /> CONTR.LICENSE M <br /> /A;'�i Td� `I55;zc, i5���h.• �i u,'g ;�8oii �/�5) 1/�f'4 ,S�o�� <br /> USE OF BUILDING � — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eleclric Gas___Othor <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilot A/C-alr handling units <br /> �alhtub Forced air syslems <br /> Lavatory(wash 62sin) Gas piping <br /> Shower W ater heater <br /> Kilchen sink 8 disposal Gas firoplace <br /> Dishwasher Gasrange <br /> Clolhes wash�r _ Clothos dryer <br /> Water healr,r Range hood <br /> Sink(service/badmop/r,tcJ Ezhausl lan <br /> Oackllow prevonter Heal pump <br /> Urinal Unit hoatc+r <br /> Drinking Fountain Boiler <br /> Floor drain Ru(rigeralicn <br /> Gr�ase irap Woodstove <br /> Roof drains Other <br /> Other _ <br /> CITY OF EVERETT LOCAL SALES TIU(CODE IS 7705 <br /> I hereby ceritify ihal I have read and ezamined lhis application and know ihe samo to bo Irue and correcL All provisions of lews and <br /> ordinaces governiny lhis lype o(work will be complied wilh whelhar speci(ied herein or�o�.The grenling o(a permit does not presume <br /> to givo authority�o violate or cancel tho provision of any olhor stale or local law reflulating rnnstrucUon or the peAormance of <br /> construclion. Thal I am authorized b he owner of this property to poriorm the work lor wliich applicalion is made and I comply wilh the <br /> Slato Conlracl La 18.27 CW a 296.200 WAC. <br /> � • "0� <br /> SignaWre wn /Contrac r/Aut n ed AgeN ' Date <br />