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�— �PERMIT APPLICAI �ON <br /> CITY OF EVERETT PERMIT SERVICES <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 /> SITE ADDRESS PARCEL TAX I.D.# PERMIT#� <br /> l d.� � ac� 6� �o o � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> Sv ���v o (��.c�C� f1-C <br /> TENANT NAME CONTACT fOR PERMIT PHONE ��( �?�Q�f Z� <br /> �Q YIG4 6C� $�S �k VYtcw � I (��(� "<' � QY�'P2�^ E�aL <br /> �� <br /> AOb S � <br /> O�r-1 ��� ���� ��an��-��io� s��3y S�L��,/� s�-���/e <br /> coNrn.u se a %f/18 �� 6 723 �f.T r'Z <br /> �fBJ�a-FP� �7 P � � <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric _Gas_Olher �7 6 Q'Q �/ <br /> Y c �� �`�t -�ys���,- a�a <br /> WORKDESCRIPTION { �(�,c ��e y f <br /> �...5 `��c( � Ylcc.� � �ooc� �le s"�Pr�s'si��. sys�� . <br /> vL �- 3o � <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toiiat A/C—air handling unils <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Waler healer Range hood <br /> Sink(serviceNar/mop/etc.) _ Exhausl tan <br /> Backfiow preventer _ Heal pump <br /> Urinal Unit heater <br /> Drinking Founlain _ Boiler <br /> Floor drain _ Refrigeralion <br /> — Grease lrap _ Woodstov�}� � <br /> Roo(drains � Olher F Tt S.S�� l� <br /> Olher — . <br /> CIN OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I herr.by ceriii(y thal I have read and examined Ihis application and know Ihe same to be true and cortect. All provisions of laws and <br /> ordinaces governing this type of work will be compiied with whelher specified herein or noL The granting of a permii does nol presume <br /> to 9ive authority to violate or cancel the provision of any olher state or local law rec�ulating construction or ihe peAortnance of <br /> construction.That I am authorized by the owner of this property to periorm lhe work for which applicalion is mado and I comply with ihe <br /> State CoMraclors La�v 18.27 RCW and 296.200 WAC. <br /> ��( �t t�L2 �/t <r� �cS�C�/�C) � � <br /> SignaWre of OwnedConlrac�or Aulhonzed Agent Dale �/- � <br /> Z <br />