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� -03 <br /> a�RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 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 /> �' <br /> SITE ADDRESS � PARCEL TAX I.D.p PERMIT 1t <br /> Z (,�Je;,(- Ca�il1J �o�cE � ZSo°ll3oo�v/Uon (3G�0]"�� <br /> , <br /> LEGAL LOTNO. BIOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> Evcre+� 8�u�fs LLG 738 /a.-rci SE• ku�'/uk /F/ 96734 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �$'.tnd,�,• $,�yy�.; �2U6)1Z9- 7��0 <br /> CONTRACTOR /��S��e a�������,�� AODRESS CITVfZIP PHONE <br /> /7522 ���htll t<J�y NE,s(c. J <br /> CONTR.LICENSE p �j,7 a S <br /> /NsiTl3� 965�G /�0-16��1/ (.�J/� 980// � y8'9-S9dv <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> � _Eleclric _Gas_Othnr <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FI7CTURE OR ITEM <br /> Toilel A/C-alr handling i•�its <br /> Balhlub Forood air syslem�. <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Wator heater <br /> Kitchen sink 8 disposal _ Gas fireplaco <br /> Dishwashcr Gasrango <br /> Clolhes washcr Clolhes dryor <br /> Walcr lieatr.r Ranpo hood <br /> Sink(sorvice/barlmop!cic.) _ Exhaust�an <br /> 6ackflow preventer __ Heat pump <br /> Urinal _ Unit hoator <br /> Drinking Founlain _ Doilor <br /> Floor drain Refrigeralion <br /> Groas�Irap _ Woodstove <br /> Rool drains O!her <br /> Othcr <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3705 <br /> I horoby cerilily that I havo read and ezamined this applicalion and know the same lo be true and correct. All provisions of laws and <br /> ordinaces govorning Qiis typo ol work will be complied wilh whelh�r specified hereln or nol.The granl�ng ol a pennil does nol presume <br /> to givo authorily lo violale or cancol tho provislon o1 any othor stato or local law regulating construction or the performance of <br /> conslruction. That I am aulhorizod by the owner of thls property to peAorm the work for whlch application is made and I comply wilh lhe <br /> Slato Conlractors Law 1827 RCN' and 29fi.200 WAC. <br /> SignaWro of OwnedCon�raclor/ u�honzed Agent ate <br />