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. .L <br /> � t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereUwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SRE ADDRESS I p PARCEL TAX I.D.N PERMIT• <br /> f�K�T r� �t R�ad 5r,� ?$0 2 -oo2c�-nau M , -�_ <br /> LECaA lOTNO. BLOCK TRACT <br /> oesc. `i 5:��,a 2 � O ' Cd-�'�*-•�` <br /> OWNER AD RE83 CITY2IP PHONE <br /> �e I#w ��a�.rcti LLG _ a 3'� �,7� r� I�L' S L�} ��iKo.��S ��0z6 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �orow �z D��D 1 f�c�a�..-� Nlyecs ZaS-7C3-l7d�/ ,Cra�36 <br /> coNrw�crae�;✓cr��un 'R�C�yv�.71:.1ADDRE38 '1R7 S ayon cirrma�n�VHONE�6'�6S'rIV� <br /> CONTR.LICENSEy �VE�LG��ZO,�D� <br /> USE OF BUILDING HEAT SOURCE � CONTRACT PRICE OF WORK <br /> a�.� I —Electric _Gas_Other I p���� <br /> WORK DES/CRIPTION I / / <br /> ,Qe.-���kT� 3 eK�si-�� �s�a�S, /7s���( 5 eic�^�vsT '�ans , cl.�� 4.trl�c' /�� Pl.,.�S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet AIC—air handling unib <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Krichen sink 8 disposal Gas firepkce <br /> Dishwasher Gas range <br /> Cbthes washer Clothes dryer <br /> Laundry trey Ranpe hood <br /> Sink(servicelbarlmopletc.) ,� Exhaust fan <br /> Backflow preveMer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boibr <br /> Fbor drein Rehigeration <br /> Grease trap Woodatove <br /> Roof drains Other <br /> Other <br /> � CITV OF EVERETT LOCAL SALES 7AX CODE IS 0706 <br /> I hereby ceriUy that I have road and examined thia applicadon and know tM aame to be true a�d comct. Atl provitions of I�ws and <br /> ordinaces goveming thia type of work will be compliad with whether ape�ed hersin or not.The grantiny of a pertnX does not prosums <br /> to give aWhoriry to violate or caocel the provision of any other state or local law reyulatlny comhuctlon or ths p�rlormanw d <br /> construdion.That I am authorized by the owner of this properry to periorm tM woAc for whieh applieadon is maAs aM I campy wRh tlro <br /> � SWte Coniradors Law 18.27 RCW and 296.200 WAC. <br /> Signat� "�ed ontradorl ut orizedAgsnt `/�"�te <br /> I <br />