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PcRMIT APPLICATIG�� <br /> CITY OF EVERETT PERMIT SER�ICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810– FAX 425-257-8857–www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT It <br /> I CALIFotN�p /4V@ 00 1 �02 So '70 - <br /> LEGA LOT N0. �LOCK TRACT OR SUBDIVISION It <br /> DESC. � T OF dLh tS D-ol-W4o FT Let 17 <br /> OWNER ADDRESS CITYIZIP PHONE <br /> C�Ty OF EvQ¢ET'1� alo) CEpA2 STREFT EuEQitt�9$lol yiS-257-88r1'6 <br /> TENANTNAME CONTACTFORPERMIi PHONE 8 lI <br /> NOIJE �NgE1J S/FNGF'FEZ E-MAIL �Mf2���.lw�tH..Jq•�S <br /> Z`aA'flfAt �— <br /> DrnsLcousTa��T�oN , Inc, 2o9oZ (pl*� AvENE�$Te. �36� ARL�NBZ 3 3�eo-4d5'-7�yy <br /> CONTR.UCENSE N O 4,� S(2 <br /> USE OF BUILDING ---� HEAT SOURCE � CONTRACT PRICE OF WORK <br /> /✓�/� Eloctric _Gas O�har ,�39� 871 . o a <br /> WORK DESCRIPTION <br /> /3S$EbtoS i48hT"E1h£NT �- Bul���nlb I�FhwLlTiOr! <br /> SEaA -t# 0 9 - 047- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Tollel NC-eir handling units <br /> 8athlub Forcod air systems <br /> Lavatory(wash basin) Gas piping <br /> Showor Waler hoater <br /> KltchAn sink 8 disposal Gas firoplace <br /> Dishwasher Gas range <br /> Clolh�s washor Clothes dryer <br /> W ator h�ator Rnnge hood <br /> Sink(sorvicelbar/mop/o�c.) Ezhausl lan <br /> _ �ackllow prevonlor Hoal pump <br /> Urinal Unit heater <br /> Drinking Founlaln Boilar <br /> Floor drain Relrigeratfon <br /> Grease Irap Woodstovo <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE 18 7f05 <br /> I horoby cerilify Ihat I have road and examinod ihis application and know the samo to be We and correct. All provisions of laws and <br /> o�dinacAs govorning ih,is lype of work will 6e compli�A with wholhor spoci(iod herein or not.The granling of a perml�does nol presume <br /> �o{�ivo aulhority�o viola��or canccl IhA provision of any oth�r slato or lor.al I�w ro9ulating construction or Ihe peAormanco of <br /> conslruction. 1 hat I am aulhorizod by Ihc ownur ol�his property lo perlorm lhe work for which applicalion is made and I comply with the <br />� Conlr;iclu _nv 1027 RCIN and 2fJ6200 WAC <br /> � 7 26�/0 _ <br /> 5 gnature;of Owner�Cont �.tunAulhorizeA A9nnt Dale <br />