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P�RMIT APPLICATILN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEI, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.ev=rethva.org �y� <br /> �2 'C�T(O <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT C.4RDS ARE NOT ACCEPTED <br /> SITE AD�RESS PARCEL TAX I.D.# PERMIT it <br /> o� ae�wow� oo -►sLl- 2 - o� E c,� -03� <br /> IEGA ���Np,� T2 BLOCI( TRACT <br /> DESC. LO <br /> Pu.o fi t 1 �-{ILTO � AOITIA'�� C <br /> OWNER ADORESS CITY2IP PHONE <br /> C NERyL�m� �+ - ��.�.-c� ►so5 f�� � E �i �tt�-Z.Sz 9 i3 <br /> TENAN7 NAME CONTACT FOR PERMIT PHONE <br /> C.N� � � " I l - � <br /> CONTRACTOR S�y��QRyy���{� v ADDRE55 CITY2IP PHONE <br /> C�s-r��ri a,.� \+��. `l 1�-1 �I$T�br f�1"'� j"�WQys�i L�e 3S°I 37(o <br /> CONTR.LICENSE# <br /> So�►�ov�q � 9$Z.7O <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> rn���HL 'MN55NGE (�L�rJ�L �Electric _Gas Other � <br /> WORK DESCRIP710N r�9til �An u s �/ZS <br /> wH��- G�v�iR2wmp. C �3s7-,Z3�W <br /> ��lcJ .���"�) <br /> PLUMBIPIG MECHANICAL <br /> NO. TYPE OF FIXNRE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air handling units <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Waterheater <br /> _ Kitchen sink&disposal Ga�tireplace <br /> _ Dishwasher Gas range <br /> _ Cbthes washer Clothes dryer <br /> _ Laundry trey Range hood <br /> _ SinF,(service/badmop/etc.) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> _ Unnal Unit heater <br /> _ Dnnking Fountain Boiler <br /> _ Floor drein Refrigeration <br /> _ Grease trep Woodslove <br /> Roof drains Other <br /> _ Other — <br /> i — <br /> i <br /> � CITY OF EVERETT LOCAL SALES 7AX CODE IS J705 <br /> i I hereby ceritify ihat I have read and examined lhis applicat,on and know the same to be tru�and correct All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authonty to violate or cancel the provision of any olher state or local law regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contrg tors Law 18. 7 RCW and 296.200 WAC. <br /> / �/r� tiG�1�/ /Z�� /��`- ` <br /> g o G,v er! ontfaG r/Authonze Dat / �i� 1 <br /> \J <br />