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PERMIT �►PPLICA�IUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEUAR 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 /> ��,� ���� sT c a�,� - oo� <br /> LEGA LOTNO. BLOCK I TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> JEfFf.L'C �, '�-r�R- 1 'f�lv �-'-�L�KEI� `�T EVERETf 9�zv1 <br /> TENANT NAME CONTACT FOR PERMIT PNONE <br /> I TNar-� Mdizri� C4�) 3'.�-�20 2 <br /> CONTRACTOR ����� ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE bF BUILDING HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> �, '��� _Eloctric _Gas_Olhar <br /> WOP.K DESCRIPTION <br /> �(il ,_L�/ .�f�c'/�r-rti.� �� � !:,n---�- l,-� � �L <br /> �� , <br /> PLUMBING MECHANICAL <br /> N0. TYPF.OF FIXTURE OR ITEM NO. TYPE Of FIXTURE OR ITEM <br /> I Toilol A/C-eirhandlingunits <br /> Bathlub Forced air systems I <br /> _� Lavatory(wash basin) Gas pipinq <br /> � Showor Waterhealer <br /> Kitchen sink 8 disposal Gas fireplaco <br /> Dishwasher Gasranc�e <br /> Clolhes washer Clothes dryor <br /> Walor healar Range hood <br /> Sink (sr,rviceNar/moplotc.) 1 Exhausl tan <br /> _ 0ack(low provc�nlcr Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Fioilar <br /> Floor drain Rofrigcralion <br /> Graase trap Woodstove <br /> Roof drains _ Other <br /> Other -- <br /> CITY OF EVERETT LOCAL SALES TAJ(CODE IS 3105 <br /> I h�reby cerilify Ihat I have read and examined this application and know the same lo ba Uue and conect. All provisions of laws and <br /> ordinaces govoming lhis lypo of work will ba complied with whothor specified heroin or not.The granling ol a parmil does nol presumo <br /> to c�ivu authority to violalc or canr,el Ihe provision of any othor stale or local law regulating construclion or thc,peAormance of <br /> construr.tion. Thal I am au�horized by lhe ownor ol this pmperty to por(orm Ihe work(or which eppPcation is made and I comply with the <br /> Slate Contractors Law 18.27 RCW and 2�J6.200 WAC. . . <br /> �.]�J� /�� � <br /> SignaWre of OwnodContractor/Aulhorized Agenl � � Dale �( <br /> Z <br /> �----- ----- ---- -- <br />