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i � <br /> PEi .MIT APPLICATI01 . � <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 �� � -3 ,-O,b <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2�01 ro,.�w� 00Y379y.�oo,3/00 � �( , ,� 'l <br /> LEGA LOTNO. BLOCK TRACT , <br /> DESC. <br /> OWNER A�DRESS CITY2IP PHONE <br /> Sr,;f� S�.f ncy 2ooz 6roerQwRK CvcreN' wti 'IY2o/ 4zs' 2rt �.I <br /> TENANT NAME CONTACT FOR PERMIT PX PHON W � <br /> S•ds A�Ff�o�d461� ,Avfns I k;� NuwF �czs- 7��-s�,�— <br /> CONTRACTOR gu�Y NGOI1 ADDRESS ?�/pp k{q/��S.��CITY/ZIP PHONE C�2S�' <br /> CONTR.LICENSE# E�h� 7 �6 ^��3J <br /> Q�rr� 11rG0 ? 7Grt g��,o3 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �� Sq,�E S , ��Electdc _Gas_Olher I 6 f6 s �� <br /> A � <br /> WORKDESCRIPTION Z�s�11�� �t� 'rWU .S(�e�X PV �G s�;n � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM �� <br /> Toilel A/C—alr handling uNls <br /> Bathtub Forcod alr systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kilchen slnk&disposal Gas fireptace ' <br /> Dlshwashor Gas range <br /> Clolhes washer Clothes dryer ; <br />' Water healer Range hood � <br /> Sink(servicelbedmop/elc.) _ Exhaust fan � i <br /> Beckliow provoMer Heat pump � <br /> Urinel Unit heater <br /> Drinking Founlaln Boller <br />� Floor drain ReMgeraUon � <br /> Grease trap Woodstove <br /> Roof dralns Other <br /> Olher � <br /> — — i <br /> CITY OF EVERETT L6CAL SALES TAX CODE 19 7105 � ' <br /> i <br /> I hereby carility that I have read and examined lhis application and know the samo to be true and correcl. Ail provisions of laws ahd <br /> ordinacos govoming lhls lypo of work will bo compliod wlth wholher specifiod harein or not.The granling of a permit does nol pres'ume <br /> lo give eulhodry to vlolate or cancel lhe provlslon of any olher state or local law regulating wnslruclion or the performence of I <br /> conslruc .Thal I am aulhorized by the ownar ol this property to perform lhe work tor whlch appllcetion is mede end 1 compty wl�h the <br /> Stato C n actors Le 8.27 R end 29�.200 W'^AC. i <br /> V � <br /> Sfgna ure o Owner o acto odzod Agent ate i <br /> �/< <br />