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. <br /> �E MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, E`/ERETT, WA 98201 <br /> 425-257-8810— FAX 425-257•-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 51TE ADDRESS PARCEL TAX I.D. # PERMIT# <br /> , <br /> 3IZG �k�40we�� 00�373q750000 � �' !� � - �`� <br /> ' LEGAL lOTNO. BLOCK TRACT y� <br /> DESC. �'Z � �IX{C��JL'L <br /> OWNER AODRESS CITY2IP PHONE <br /> C�aH�r �o �acn»gs Z�h t�ck�fclla� �ue. �t�ff t8m/ 'l�s'•z�z• zaro <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Ha�rrr�uu f�aN� B�►IC C�l'r►�;71�onte - �NN Avr.l+►�� �lzs. zS'�•o8G8 <br /> CONTRRCTOR ADD�ESS CITY2IP PHONE <br /> OG�HFt� �1y71FL �OI�l1pA�Q5 �r�Z 1�►'�-��. ��rr- �z�� y�s-•3r��oes-� <br /> CONTR.LICE SE#6�YMp�e ��.P2 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��� ._[lectric�Gas_Other ��3$ QGv � <br /> I <br /> WORK DESCRIPTION <br /> T�i�IA� lKPJ�DIt�f�NT �700 S�' �� �1(�$�MIC�{ <br /> C�u- �►�nr �u�e t�vrar�s �Nrr) <br /> PLUMBING MECHANICAL <br /> NO. TYPE UF FIXTURE OR ITCM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Cblhes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(serviceNarfmop/etc.) _ Exhausl fan <br /> �ackflow preventer _ Heat pump <br /> Urinal Unit heater <br /> ; Drinking Fountain _ 8oiler <br /> Floor drain Refrigeralion <br /> Grease irap _ Woodslove <br /> Roof dreins Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I;-^reby ceriti(y thal I have read and examined this application and know lhe same to be true and correct. All provisions o(laws and <br /> ordin�ces governing Ihis type of work will be complied with whelher speci(ied herein or nol.The grenting of a permit does not presume <br /> to give aulhority to vi late r cancel the provision of any other stale or local law regu�aling consWction or the periormance of i <br /> construclion. uthorized by lhe owner of this property to pertorm the work for which appliwtion is made and I comply wilh the <br /> Slate Con 18.27 RCW and 296.200 WAC. <br /> , � lJ Q <br /> Si� ure of OwnedConlractor/Authonzed Agenl D• e �/� ' <br />