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I � <br /> PERMIT APPLICATION <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 ACCEP7ED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRE33 �� 8/�u'�f QV� PARCEL TAX I.D.� kM1T� <br /> c-��;� 9�zo� oo43�q���,�.o� ` o5a(�-(��, <br /> LEGA LOT NO. Bl.p K TRACT l���� �t�e.7.�„ <br /> DESC. l(o�l��lA�[9� 2�L1 Lvc> <br /> OWNER ADDRESS � CITY2IP PNONE ,4.y�-z�,'�-�p�y <br /> rs�P���m", c�e�rN'�x,s�r�.v��Z, s,�q �4� �s�✓��w�aa:�s� <br /> 7ENANTNAME NTACTF )tPERM1T PHONE <br /> /� C'eLfi G <br /> 11 �: �,' I �r i_;� �� ,U�—yzs--az��'63 �anr ��c� 4��zs-�yy'z <br /> ,!I CON7R/1CTOR�/�2l.�2t"�J E����Nn�blv�,/�DDRESS cmmr PHONE'KS•7 •�y87 <br /> s�.v�I /710� q�,Av� s� .niu,c�x, <br /> CONTR.LJCENSE N �vERt7ESlXoI�S �� ��Z <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> c.Nrvruw W►5 Sr19noN�ca�✓vwip� <br /> 5 rt►2� c�/1 u/�srl � _Electric ✓Gas_Other UNKN��U/✓ <br /> WORK DE9CRIPTION <br /> (:v,usl7�uc;rN�w �j�s S1�1T�++�, Ccw,v✓�.�wlctivr�s�E.�O �g2 u'�sHc.�v v�ICAivT,�r�r`f. <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OH 17EM <br /> Toilet A/C-air handling units <br /> BattiWb � Foroad air syetams <br /> Z Lavatory(wash basin) Gas piping <br /> Shower —� Waler heater <br /> KNctxn sink 6 disposal � _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clathes dryer <br /> Laundry tray Ranpe haod <br /> �— Sink(servicelbar/mopletc.) �_ Fxhaustfan <br /> _L Bacldlow preventer Heat pump <br /> ( Urinal UnilheaLer <br /> Drinldng Fountain Boikr <br /> � Floordrain _ Refrigerntion <br /> Greaee trap _ VWodstove <br /> � Roofdiains _ �� <br /> Other <br /> CITY OF EVERETT LOCAL SALES SAX CODE IS 1106 <br /> I hereby ceritity that I have read and examined this application and Imow the sartre to be true and correct AII provisiona of laws and <br /> ordinaces goveming this typo of N+ork will be compliod wiMi whether spedfied herein or not Tha f,rantirre of a pertnit doee not prasume <br /> to give authurity M violate ar cancel tiie provieion of any other state or local law reguiating censfr•�ctlon or the performance of <br /> construction.That I am euthorized by the owner of this property to perform the work for which Tpdication is made and I oomply wilh Ihe <br /> S�be Con -rors Law 18.27 RCW and 286.200 WAC. <br /> i <br /> Signat:re of Own r/ r/Authoriz�nt � Date �� <br /> i <br />