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PERMIT APPLICATION -1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320J 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 /> SI1 c ADORESS PARCEL TAX I.D.# I PERMJ,T p <br /> ► 3�5 �Ie,� Avc �D3 N IOD��a S(�0 /� ��- <br /> LEGAL L07N0. � BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE z <br /> I��b�r �. + �u.l�e �ho��►�-t-� i3oS E3alle� Avc �,ren-e-� ,w� `�8��3 �i� '�►�� <br /> TENANTNAME ��� �TACTFORPERMI7 / �pb N;II �C 11�4..) PHONE <br /> ( 4.�< �� Je � ,� � l� �,�use ) � n.rN' l ��,i, A� y'� ��4� �IZ5 �710 _ <br /> ,�„�,�M ��,i�z �05� � W��,� a�sl � ►y � <br /> ;ONTRACTOR AUURESS CITY2IP PH- E <br /> CONTR.LICENSE k <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> r P51 G""°� �-C� _Eloclric _Gas�Olhor <br /> WORKDESCRIPTION �� I(ALt' L�Yl�ii�n ���G)c 001 � Ih���l( �l W! � (���.4-� L� '� -f-O ���Y'I� <br /> i,�nc� d�l� ��D� �CC����il'L� 4 viGr��G� t�t7J� ,(lmc� PX�m�I� WQ�� fC �j �� DI1eti��n�, e <br /> ��5rd 4�� shee �wcK or� {Ha-1 Sr[-���v+ pG �,,iu �l , 'b�na � efJ ,{ un��niSl�Q �n txct �,,y <br /> ,N I J� <br /> .}1,e v+n�in�Shrr� Na{f�rc' p� a� (�av�+qP. (7li���y ii 5+ill �e4rd �r hiry[I[ S�ruy���bol uSC <br /> �i�� i�UI�� aN(� 5'ro�°�cl�' 0� 3dMC'� HUNk'�O�t� ' �i NO�L - �1�i5 i5 fl'fivAC�h�P' tlid nnl CnOM� W <br /> PLUM NG MECHANICAL ����ed P��r �1� <br /> NO. TYPE OF FIX�URE OR ITEM NO. TYPE OF FIXTURE OR ITEM So2�V��, , <br /> ` <br /> _ Toilc� A/C-air handling unils <br /> Balhlub ^ 1,J _ Forcedairsystems I` <br /> Lavalory (wach basin) i 1V � _ Gas piping r � � <br /> = Showcr � `� � Waturhoalor 1 /'n <br /> Kilc,hen sink&dispusal ` U`�����l� � _ Gas fireplase I � �1��'��IL � <br /> Dishwashcr � ___ G2s range t J <br /> Clothas wachcr _ Clolhas Jrye� <br /> W.der healer _ Rangc hood <br /> Sink (servicolbadmnp/elc.) _ Exhausl fan <br /> �ack�low preventer __ Heat pump <br /> � Urinal Uni�hcaler <br /> Drinkinc� Fount.ii❑ Bailer <br /> Floor drain Rolrigeralion <br /> Grease trap N�'oodstove <br /> Rool drains Othor_ _ <br /> Olher --..----_ — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilily thal I have iead and examined lhis applicalion and Anow Ihe same Ie be irue and correcL All provisions of laws and <br /> Iordinaces floveminq this lype ol work will bo complied wilh whelher speci(ind herein or noL Tho�7ranting of a permi�does nol presume <br /> �o givo authority to violate or cancel lhe provision of any olher sta�e or local law r�gulaling consWclion or lhe peAormance of <br /> Iconslruclion. That I am authorized by Ihe owner ef Ihis property�o perform Ihe work lor which applicalion is made and I comply wilh ihe <br /> Sla Conlraclor �' 1�.27 RCW and 2;6.200 WAC. �/I �/ �' <br /> i � !1 f, A IL /� <br /> ` � '� _�JLU�,-~ li <br /> Sic ura ol Own�dConiractodAulhorized Agent Dat <br />