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,� .- <br /> . � <br /> � PERMIT APPLICATIO�J ' <br /> I CITY OF EVERETT PERMIT SERVICES <br /> � � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-�vww.everettwa.org ' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM g -a, 0 � Op I. <br /> SI(E ADPRFc� PARCEL TAX I.D.p P R # I <br /> �3� �►�.w��. a�� � a�ao�o�oo�o�yon /� �03-��� � <br /> LEGAL lOT NO. BLO(:K TRACT OR SUBDIVISION tt ' <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE �� <br /> I 1\�n� 1V�Pli�S F� � `�L l��l;(11,.:C� ��t�i �U'r'l.� �c5''ZC1� <br /> I TENANTNA�dE CONTACTFORPERMIT PHONE ci�s'� �f'(�- fo(pr9 � <br /> I \\i�iU 1`�'W��Yr�t L...arrh ISP�� E.MAII �.l�fllw�l�h�/'.Cow��� <br /> �bAl'FiA� n`A�l" �.� 21P—PAOAE-- <br /> ;`, ,c.\S �� (�(P�wo� ��. ��S— 3S�—'2!!f <br /> CONTR.LICENSEp /1 ;nKew,�� 999�d r+ 9�'Z�3 �. <br /> 1L <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK ;,+ <br /> ]. �+ � (�I�Y�Pi �f,y�� -1.f tJ) K . —� i <br /> �.P\ J'�ar�., _Eleotiie _ --==�"x�— � 7l% �� , (.i� �.;�' <br /> WORKDESCR�TION� Onl o� � aa$��. tib�� �5�,,�I{ P0.� ' ��. <br /> I iao x a4o ro � , <br /> i <br /> PLUMBING MECHANICAL � <br /> �i <br /> NO. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM ' <br /> Toile� ArC-air handling uni15 .. <br /> Bathtub Forced air syslems ' <br /> I _ __ Lavalory(wash Uas�n) _ Gas piping <br /> Shower Water healer <br /> Kdchen sink&disposal _ Gas fireplace ' <br /> Dishwasher Gas range � <br /> Clothes washer _ Clothes dryer � <br /> ! Waier heater Range hood I <br /> I _ Sink(service�badmop�etc.) _ Ezhaust lan ' <br /> _ _ Backflow preventer ___ Heat pump <br /> ��, Unnal . Uni�healer <br /> I Drinkmg Fountain _ Boiler ' <br /> � Floor drain Refrigera�ion <br /> � Grease irap Woodstove I <br /> � lo Rool dra�ns Oiher � <br /> _ Other.--------- _ <br /> � <br /> ; GTY OF EVE8E17lOCAL SALES TAX CODE IS 3f05 <br /> i <br /> ', I hereby cerifi(y Ihal i have read and ezamined�his application and know the same to 6e true and correcl. All provisions of laws and li' <br /> ortlinaces guveming this lype of work will be complied wi;h whelher speci(�ed ' �rein or noL The granting of a permit does not presume ; <br /> �� to grva authority to violale or oancel tho provision of any other stale or local I regulating coosiru:tion or tha pedormance ol il <br /> � con�Iwclion. That I am 2utlioiized by the owner of this pwpeny to perform the work for which application is made and I comply with the <br /> I Sta �Conlractors Law 7827 RCW and 296200 WAC. I <br /> w . �I��la � � <br /> ' Signawre of Owi r;ContraclorrAuthorized Agent Dale , , I <br /> � � <br />