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l_— <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.arg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N P MIT <br /> ?72� Y-o w�Y AV� � aaq�3'139260)I o0 (.� �(��-rJ'' <br /> L[GA LOTNO. DLOCK TFACT <br /> ��5� I( T�+Ru I �Z 'i�-da <br /> OWNER ADDRE55 CITYlLP PNONE <br /> ?0T}i� ���w��1 �h'rtt.=lz�' U.f� 3 l z9 ��� AvF ��t 9820 l <br /> TENANT NAME t 1 L O(-V P�L ,,#�ttT�i�FOR PERMIT PHONE <br /> �kM'�" l� o1�N,l�:"1z- I�WHt'�1.��R. ('4'Ls) 3�3 -b8b8 <br /> CONTRACTOR ADDR[SS CITYZP PHONE <br /> TR�. IN�Tt.}J1��Ilo1.{AL � IfJI�, �o, �s,( MUKIL� q82T5 C'1��•"�3�3-b '�'8 <br /> CONTR.UCENS[= T�I.NT���f�� ��I ? '/ ' �- ���� <br /> t15E ^F BUILDING . HEAT SOURCE CONTRACT PRICE OF WORK <br /> wA��:N�a<>� /�`�I`'� \�� _Eledric _Gas�Other 1� ��f ��� �� <br /> WORKDESCRIPTION �J -- ��Y �(,�`L.- � �-� <br /> Y�.�`�1:�=�t�t� �- I�xi�TI►-IL�( c.�M�t '�C� �I'�I�i- �1 l�c��T <br /> �=�r1T�.(N�Z" M'�,Til1. �.�l l,.vl N�lfi . <br /> PLUM[31NG MECHANICAL <br /> NO. TYPEOFFIXTUR[OR�TEM N0. TYPEOFFIXTUR[ORITEM <br /> Toilet AIC—air handling units <br /> Oathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitdicn sink 8 disposal Gas fimplace <br /> Oishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry Uay Rangehood <br /> Sink(service/badmop/etc.) Exhausl fan . <br /> Badcpow pmv�ntcr Heal pump <br /> Uiinal Unil healer <br /> Dnnking Fountain 6oiler <br /> Floor drain Refrigeralion <br /> Grcase trap Woodstove , <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby cerilify ihal I have read and examined this applicalior and know lhe same to be lrue and corred. All provisions ol lavrs and <br /> ordinaces goveming lhis type of work will be complied with whether spedfied herein or�ot.The granling o(a permit does nol presume <br /> lo give authonty ta violale or cancel lhe provision o(any other stale or lowt law regulating construdion or the peAormance ot <br /> consWdion.That I a ior d by the ownerof this property lo pertortn the work forwhich appliwlion is made and I comply with the <br /> Slate Conlr ors L 18.27 R W and 296.20C WAC. <br /> � _ r�3-/G- a4� <br /> Signalur er ontra1Tc odAulhonzed Agent Date <br />