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r---'- -- <br /> P�RMIT APPLICATI�iN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEP fED FROM 8 AM TO 4 PM <br /> SITE ADORESS PARCEL TAX I.D.# � P�R�M/IT�'# �� <br /> L� � c�P c - ?��o a - �-I u - v 3 c - u � c�'L�__1���— <br /> LEGAL LOT NO. BLOCK J TRACT <br /> D[SC. - <br /> OWNER ADORESS CITY2IP PHONE <br /> \ � <br /> { tc��l�«-l��\�-�"� � �`� -. ��C (�lh �.'1J> (��ir`�F ���'�l�tl��`Z`�%1� �l,l�-��1i -1� Isi <br /> TENANTNAME <br /> � CONTACTfORPEHMIT PHONE <br /> �._�t.! �-r ;":1..1 `1�� ' I�1?�' lll� <br /> CONTRACTOR ADORESS CITYIZIP PHONE <br /> Nc�u.�CL. Lv\'�-.1)i 1�r,.�iLIC. t-1 (:�:�?.- '�.i����. �1= l:�ii:'��t.r.l1`l�b��a N�� - �143 <br /> CONTR.LICENSE N � 1 (� <br /> USE OF BUILDING 1 HEAT SOURCE CONTRACT PRICE OF WORK <br /> %� ��:.��' � a1����-, �L�� ::�'' `�` _Eloclric �Gas_Olhar <br /> WORK DESCRIPTION <br /> �-� r �,..' ;• �.�:11r..�.: �-wtiz ..� .� :,.�.ti��t-� �-o.,rwL.t., ✓U..tiU-���..`-1- <br /> T'�a 6-ju-c�-!� 15`l <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> �_ Toilcl AIC-airhandlinpur.ils <br /> �,.. Balhtul� _� Forced alr sysloms <br /> � Lavatary(wash basin) _� Gas piping <br /> � Shower 1,�Jalor healer <br /> Kilchen sink&disposal _� Gas fireplaco <br /> i L Dishwashur � Gas ranc�o <br /> � Clolhes washer �_ Clo�hos dryor <br /> ' Water heator _j_ Ranc�o hood �v��:M� <br /> � Sink(servico/badmop/cic.) �_ [xhausl fan <br /> �ackllow provr.nlcr _ Hoal pump <br /> Urinal Unit healor <br /> Drinkin9 Founlain _ Boilor <br /> Floor drain R�Iriporation <br /> Groaso trap _ WooJs�ovo <br /> Roof drains Othar <br /> Olhor <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cerilily Ihal I have read anA oxamined lhis applicalion and know lhe samo lo bo lrue and correcL All provisions o(laws and <br /> ordinaces<7overnin� Ihis lype o(work will bo complied with whelhor specified horuin or noL The granling of a permil doos nol presumo <br /> lo�ive aulliorily lo violalu or cancol Iho provision ol any othor state or local law rec�ulatinc�construclion or tho performance of <br /> construclion. That I �un a�dhorizocl by the owner ot this property lo pertorm lho work for which application is mado anA I comply wilh Ihe <br /> SWIU COIIII8C1UI5 Law 1827 RCW unJ 29fi.200 WAC. <br /> .��i�,L•�� .-` — �IIIi � O �I <br /> Si�naWru ol OwnedConlrac�odANlhotized A�onl af3To— <br /> ) <br /> i . ._ _____._---___....------- — — <br /> ,�c <br />