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� ! <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.il PERM� _ � T� <br /> t:G� LO /�Rc�r'rD;,�)taY _ �'� -' II > <br /> LEGA LOTNO. BLOCK 7RACT <br /> DESC. <br /> OWNER ADDRESS CfTYIZIP PHONE �Z�•_3�-�_Spj <br /> 1�>� �r��ni G> 2I /-lwY9 -a-'� �k.sl�x'�� s C�k. 9�ts'�i <br /> TENANTNAME I CONTACTFOR PERNIT PHONE <br /> Q�/� SO.3-�j70 -J...G! <br /> C�e., e ��� Cl9�o�v �A�c /�izy� //�=r So3-�.57-Z3/� <br /> CONiRACTOR . �,�I�G�r T'cl.nC� I!S T��ADDRESS CT'21P � PHONE SC'.3- » %' <br /> �aa��� �1 �s��� F� v. Bi�o � �,r�r�-C',r,�Or z.3iE <br /> corirn.uc�se e 9 7�`/!" <br /> .� FS�r=�x�-v z2 iZ� f,¢x-s�3-5s �� 3S�,�i <br /> USE OF BU�LDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eleciric Gas Other �rSU��, �-'� ((L'�o���J��/ <br /> WORK C'ESCRIPTIONr;5'Iz�I� wa��/H 4'��f'R /,t F/�l bl/�H'�-/c�U vk �� <br /> � <br /> .��L �1�4��Mc� L.qIJ I� .57�'�'� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FD(TURE OR ITEM NO. TYPE OF FU(TURE OR REM i <br /> Toilel NC-air handling units <br /> Balhtub Forced air syslems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> �ishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Laundry lrey _ Range hood <br /> Sink(service/bar/mopletc.) _ Ezhaust fan <br /> Backllow preventer _ Heat pump <br /> Urinal Unit heater <br /> Dnnking Founlain Boiler <br /> Floor drain Refrigeration <br /> Greaso trep Woodslove <br /> Rool drains Olher <br /> Other <br /> CfTY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hereby coritily Ihat 1 have road and examinod Ihis applicalion and know Iho same lo be tnie and correct. Ail provisions ot laws and <br /> ordinaces goveming ihis typo o(work will be canplied wilh whether specified herein or nol.The granling of a permil does nol presume <br /> lo give aulhonry to violate or cancel Ihe provision of any olher slale or local law regulating conslruclion or ihe pertortnance of <br /> conslru0�ion.That I am aulhorized by tha owner oi this property to perfortn ihe work for which applica6on is made and I r.omply with the <br /> Slale Cohlradas L w,1827 W and 296.200 WAC. <br /> / / <br /> ��(�.CA-I� � /.y �I J D G. <br /> � nature of Owner/Contractor/Ay iorize0 Agent ��f ate <br />