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Pf�RMIT AP'PLICATIC�N <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 DDRESS PARCEL TAX I.D.p PERMIT# <br /> !� oc� 3 $ y- ? -�o� -zo-o� c �.��� �, _�, � i <br /> LEGA LOTNO. BLOCK TRACT , � <br /> DESC. � 6 O ��i �, � � I <br /> OWNER ADDR 55 CITY2IP PHONE <br /> �T�-���-�i � � Co o p-� <br /> TENANT AME CONTACT FOR PERMIT PHONE <br /> S /-��"vl �-� �r1? oYtii �G� H f i �► �/.2S"'-330 -6 L <br /> CONTRACTOR O��L�� ADDRESS CITY/ZIP PHONE G / <br /> CONTR.LICENSE# I � ��b � 3� % `� ZID <br /> .��N�-- 60 � �L���,�� SF , S�,f� �r�,��4 , c� y� � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRI E OF WORK <br /> � f F� I �Eloclric _Gas_Othor �G7 7 ('�(�, O O <br /> r <br /> WORK DESCRIPTION D <br /> /-1- G�GIr� T�G����/r-v a� �1 Gtiwf <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> � Toilot , A/C—air handling unils <br /> _� Ba1hWb _ Forcod air syslems <br /> � � lavalory(wash basin) __ Gas piping <br /> � _ Showor W3terhoaler <br /> Kitchen sink 8 disposal Gas lireplaco <br /> Dishwasher Gasrange <br /> � Clolhes washcr Clo�hos dryor <br /> Water healer � Ran�o hood <br /> � Sink(sorvic�/badmop/olc.) �. Exhausl fan <br /> Backflow prevc+ntor Hoat pump <br /> Urinal Unil heater <br /> � Drinking Founlain Boiler <br /> Floor drain Rafrigeralion <br /> Groaso trap Woodslove <br /> Roo(drains Olhor <br /> Othcr <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I heraby ceritily Ihat I have read and examined Ihis applicalion and know lhn same to be true and correct. All provisions of laws and <br /> ordinaces c�oveming Ihis typo of work will ba complied with whether specified heroin or not.The grantiny ol a pormit doos nol presume <br /> to yive authorily lo violate or cancel Ihe provision of any othar slate or lucal law regulaling conslruclion or the paAormance of <br /> construclion.That I am aulhorized by tho owncr of this propoAy lo pcAorm Iho work(or which application is made and I comply wilh the <br /> Slato Contrectors Law 18.27 RCW and 296200 WAC. <br /> _�� , od <br /> Signa ofOwnedConlracl IAviho�izedAgent ate <br /> /�L <br />