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PERMIT APPLICATION <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 /> 1801 'f�ro�:c��: ����� Mo�so�- � c� I <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ������ �.�,�� ADDRE55 CITYI P PHONE <br /> ��.'�1 �>i J(k�4.� t^�l�r{� <br /> TENANT NAME CONTACT FOR PERMIT PHONE 7� -C�µ�..1�,{, <br /> �-�=i-�-`��-ra(LC�v I'nW� •� �VV Wel�r,�-t.¢c,p GPCa <br /> E-MAII <br /> T T R ADDRE I lZIP N <br /> CONTR.LICENSE# ���� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> pJ(�t,f� _,Electric �Gas_Other � �S(I D <br /> WORK DESCRIPTION <br /> -�in�-F �';olac�ww�c10� C�.a-e�K�w��fh,�- ��r,� titi��w-1 <br /> `' L�� -�z�, l(��. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM17 NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils � <br /> BathWb Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water healer Ran�e hood <br /> Sink(serviceNar/mopletc.) Exhausl fan <br /> Back(low prevenler _ Heal pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Rclrigeration <br /> = Greaso Irap Woodslov�� ` �� <br /> Roof drains � Olher 1 K t i rt <br /> Other <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I herehy cerili(y thal I have read and examined this application and know tho same to be lrue and correcl. All provisions of laws and <br /> ordinaces governinc�this type of work will be complied�vith whelher specitied herein or noL The yranting of a permit does nol presume <br /> lo give aulhority to violale or cancel lhe provision o(any olher state or local taw regulaling construction o��ihe performance of <br /> conslruclion.That I am auUiorized by the owner of this property lo perform lhe work for which applicalion is made and I comply�vith Ihe i <br /> S }e Co raclors Law 18.27 RCW and 296.200 WAC. <br /> �-1 l{;(.�� W CY(11 UU��� � <br /> Signal re ot OwnedConlr2clodAulhorized Agenl D�te <br /> 1 <br />