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� -i� --o <br /> PE�CMIT APPLICATIOI� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 4�5-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S�TE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � �.�, �P. ��v�1 wA � 8oeo� 'a3l <br /> LEGA LOTNO. BLOCK TRACT /J y <br /> DESC. a�� � �rv��r+-Y� �Pvr-ln,em s <br /> OWNER ADDRESS CITY2IP PHONE <br /> �ns��e � <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> G,r �-aors�� �42� 770-7:L2-Z <br /> CONTRACI'OR ADDItE C1TY21P PHONE <br /> F��e��;i- R�Ji;�.... c.�� :2i�zh� 4� D�; f3at��..11,wA 980�� C��s���o—�a.a,z <br /> CONTR.LICENSE M J <br /> USE OF BUILDING HEAT SOURCE CONTRR 'PRICE OF WORK <br /> oe <br /> R,����� —[lectric _Gas_Olhor �� ��"��— <br /> WORK DESCRIPTION t' <br /> �• 2'=`d /ry,c� 4�c.�r.1Po�:-/��,., .s�i,1„�¢.s ��u- a.-J,i, 3-f�c.� �e� MeT <br /> Re -r.�e m� J <br /> PIUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilot _ A/C-air handling units <br /> Balhlub _ Forced alr systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Water hoater <br /> Kilchen sink 8 disposa' _ Gas lireplace <br /> Dishwashcr ___ Gas rango <br /> Clolhes washor _ Clolhos dryor <br /> Waler healor _ Range hood <br /> Sink(sorvice/barhnop/ntr,.) _ ExhausUan <br /> Oackflow proventer _ Hnat pump <br /> Urinal _ Unit heator <br /> Drinking Fountiin _ Boi�er <br /> Floor Arain __ Ro�rigeration <br /> Groaso trap _ Woodslove <br /> Rool drains Othor <br /> Olher___ _ — <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 7705 <br /> I hereby cerilify�hal I have read and examined ihis application and know Ihe same to be true and corrod. All provisions oi laws and <br /> ordinaces goveming this typo o�work will bo complied with whelher spocilied horein or not.The grenling of a penr.!!does not presume <br /> Io givo authonly to violate or cancol Ihe provision of any other state or local law rogulaling consWction or Ihe perfor nance ot <br /> construr.tion.That 1 am authorizod by Iho ownor ol this property lo p�dorm Il�e work fo�which application is mTde e.id i comply with lhe <br /> Slato Conlredors Law 18.27 RCW and 296.200 WAC. � � <br /> �" � - 1 '�/ 13/nG <br /> � <br /> SignaWre ol OwnodCon�ractodAu�honzed Agent D �e <br />