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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETI', WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 —www.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM q .. �'3 ..p� <br /> SITE ADDRESS �ti�O� �<«(� �� (� pqRCEL TAX I.D.p ERMITp p I <br /> IEGAL LOTNO. BLOCK TRACTORSUBDIVISIONp — ��O ` UG� <br /> OESC. <br /> OWNER ADDRESS CITY2IP PNONE <br /> TENANT NAME I CONTAC7 FOR PERMIT — <br /> PNONE <br /> B�� E•MAIL <br /> . / — <br /> CONTR.LICENSEp A�JCC. �Q 7} S Fj.YI <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PR�CE OF WORK <br /> Elec�ric Gas Olher <br /> WORK DESCRIPTION <br /> I����n [ C �Jt�i E7✓i15 G^� C✓.i��� /7r /n� J �1 <br /> �/!7w//��1.)r .a-:" '�- '7 � � y {, . <br /> K i /-i G [ r' /I lc:��� / ��0� %� 1 S ..�� l( /.� <br /> l��,}t �,� „ / /�..:�. / �.. , 4!- l✓.., l, > ,'�j�.=.�h r <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM N0. <br /> TYPE OF FIXTURE OR ITEM <br /> �-�— g���c��� _ A/C-aii handling unils <br /> -�-� Farced air syslems <br /> �- Lavalory(wash basin) Gas i in <br /> _�_ Showcr — P P 9 <br /> _� hilchen sink 8 disposal — Wa�er heater <br /> ! Dishwasher _ Gas fireplace <br /> __L Clnlhes washer _ Gas range <br /> __l. Wa�er healer __ Clolhes dryer <br /> ._ Sink(service/badmop/etc.) __ Ranpe hnod <br /> Backllow preventer __ Eahaust lan <br /> Urinal _ Heat pump <br /> _ Drinking Founl2in _ �1ni1 heater <br /> Floor drain __ Boiler <br /> _ _ Greaso irap __ Refngera�ion <br /> Rool drain _ �M1'oodslove <br /> � Olher <br /> --'� Othar `�� J�� c c f���, � ;J. � <�r GJ.�)fC — — <br /> _I � � � , �-�,�,(, � ir _ _— <br /> r��•��. .r),- .i,� ,� . <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 7105 <br /> I hereby coritily that I have read nnd ezamined ihis application and know ihe same to be true and correct. All provisions of laws and <br /> ordinaces�overning this type ol work will be complied wilh wh�lher specified herein or noL The granting of a permit does nol presume <br /> lo give aulhurity to violale or cancel lhe provision of any olher stalF or local law regulating r.onstruction or tho poAormance ol <br /> construclion.That I am aulhorized by the owner ol Ihis property to perform Qir.work for which application is made and 1 comply wifh Ihe <br /> Slale Co�ra�lors Law 1 ,2�[tCW-a��6.2U0lNAC. <br /> � / I <br /> / �/, l `� '3 7( <br /> Sign lure ol wnr,UCpnlrn, r ithorized Agen a�� <br /> �._= <br /> . . . . . . . .. _. . .___ _._.--�------ �J <br />