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PtRMIT 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 Cj —D3 —D� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S/ITJE nADDRESS � �P/ARCEL TAX I.D.# � PFRMIT p <br /> 7 /�� �Ll r ��,'1 �D' J_ /� / � 7 W .�_ <br /> LEGAL LOT N0. Rfi �f BLOCK RACT I- I1 �f <br /> DESC. '�lit 3`� ;'93 Q�',.��..� n�!'n � /�'F A�d IU �VYKLI <br /> OWNER ADDRESS CITY2IP PHONE ytr 'Jr� <br /> �Ica_ 1�1 r-�c�r-��- ��33 F�sf�;e�r puc. Fw.,�f�9szoa sszg <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> N,� I � k� rn i�kc...! I sq�,F <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE k n �� � `� <br /> l: <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Elocldc �Gas Olher .�Q� OOv 2J j�O <br /> � 1 nlLt�-L F�I�'l l�y ��$iD'�N�G — — <br /> WORK DESCRIPTION ��,,��f[ I �5/f�°KP- � �� � r'�' S��'F' S�� � ��W� <br /> pe �ac , Avd �2 a���.s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF fIXTURE OR ITEM <br /> 3 Toilet A/C—air handling units <br /> 2 Balhtub Forcod a�r sysloms <br /> _� Lavalory(wash basin) _ Gas plping <br /> ! Shower Wator hoator <br /> � Kitchon sink 8 dis{wsal _ Gas fireplaco <br /> � Dishwashar Gas rango <br /> � Clothas washor � Clolhas dryar <br /> _ Walor haalor � Rango hood <br /> � Sink(sorvico/barlmopletc.) Ezhaust lan <br /> — Backflow prevonlor __ Heat pump <br /> Urinal Unit hoator <br /> Drinking Fountain Boller <br /> Floor drain Rofrigeratlon <br /> Groasc trap Woodstove <br /> Rool drains Othor <br /> Olher <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS]105 <br /> I horoby ceritify lhat I havo road and examinod lhis applicalion and know the same to bo true and cortect. All provisions of laws and <br /> ordinacos govorning Ihis lypo ol work will be complied with whelhor speci(ied heroin or nol.Tho granling o(a perm�t does not presume <br /> lo givo aulhority lo vioiata or cancel tho provision ol any othor slate or local law regulaling construclion or the perfortnence of <br /> conslruction.Thal I am authorizod by'ho ownor ol this property tu porfarm lhe work lor which application is made and I comply with lhe <br /> Slato nlractors Law 1027 RCW and 290.2 0 W�C. <br /> �� �% �2�/�� y�y� 7 <br /> Sf�g iaWro of OwnodContraclodAulhorized Agent Date <br /> --�----------- �Z <br />