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PcRMIT APPLICATI(.,N <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPi.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N P RMIT N <br /> l � l0 c� kev- oo �Sy �3 - 600 -z0-ovl �o�a � -Oy3 <br /> IEGAI LOT NO. BI.00K TRACT • �7 <br /> DESC. � 36 � Evc-�t�/T D � VzSs�rv / <br /> OWNER ADDRE9S CITY2IP PHONE <br /> �� ��..�,, A - � n D � e,--- l � i � ��k-�- c�e�.�fi-r 3 �� 3 5 9-r�� �� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �5 c�,�;E ��arh N(u��F-i h �(�..5 - 3 3 u ^ 2 c� L <br /> CONTRACTOR � L(J nl��, ADDRES5 CITY2IP PHONE <br /> . � � . 3�0. -39y-� �6a <br /> CONTR:LICENSE M ' • ' - • ' <br /> � w�- �tio6 %-� Mti�-��.��� 'S� 1-� u��,��, ,c� ��y� <br /> USE OF BUILDINC ' ' HEAT,SOU$CE . CONTRACT PRIC OF WORK . <br /> �Tp� Y�t � I. ' _Eleclric 'Gas__Olher ' I �� �a � <br /> �_• d- � <br /> WC•HK DESCRIPTION <br /> c �► s fr� � t n�.�,� � �/ � 3 o F T � G� � �-e- <br /> PLUMBING M�CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM ND. TYPE Of FI%TURE OR ITEM <br /> Toilet A/C-air handling units <br /> Balhtub Forcad air syslems <br /> _ Lavatory(wash basin) Gas piping <br /> Showsr Watur heator <br /> Kitchen sink 8 dis{�osal Gas/ireplace <br /> Dishwashor Gasrange <br /> Clothos washor Clolhes dryer <br /> Wator healor Rsnpe hood <br /> Sink(servico/bar/mop/etc.� Exhausl fan <br /> Backflow pr�:enter He�t pump <br /> Ui�nal Unit healer <br /> Drinking Fountain Boiler <br /> Fioor drain Refrigaration <br /> Groaso trap Woodstove <br /> Rool drains Olhor <br /> Othor <br /> CITY OF EVERETT LOCAL SALES P�%CODE IS�105 <br /> � hereby ceritify thal I havo read and ezamined Ihis applicalion an�+::�iow the same to be lrue and corcecl. All provislons uf laws and <br /> Iordinacos govorninc� lhis type of work will be compliod with whether spocified herein or not.The pranting of a pertnit does not presume <br /> to giva aulhorily to violale or cancel fhe provision of any olher state or tocal law regulaUng construclion or the peAortnance o( <br /> constnictic,n.That I am authorized by lhe owner ol lhis proporty to peilorm ihe work far which epplicatlon is made and I comply with the <br /> Stale Coniracturs Law 18.27 RCW and 296.200 WAC. <br /> �h-. '� � I 8 - 0 6 � <br /> Signa o ner/Conir or/Authonzed Agenl Date L <br />