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P�I�MIT APPLICATII�iV n <br /> CITY OF EVERETT PERMIT SERVICES ���'` � J <br /> 3200 CEDAR STRE[T, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE'7 ADORESS 1 (� �yv•r � W A PARCEL TAX I.D.p PERMIT M <br /> � I �3 �Nr �-itr\ IL � �l C.� � _ "���� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITY2IP PNONE �'z 1 ,Sy <br /> J� � ��, ,�-� �� � l ���� f.s� ��<<.� ���.. F��.��a ����e S5�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE C�/L S 7 S �'I <br /> JQcer.i sAv��E ssZ � <br /> E•MAIL <br /> �i o+-,t t���ti r <br /> CONTR.LICENSE N <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �5��n[-�-- _Electric _Gas_Olher �O i C�J <br /> WORK DESCRIPTION � �rr {�, ( [ ��+ �g� �.-1 µd f � V-`t ( � S � '�� �� }7�✓Nr/�/ <br /> �'C 1���� rt...e.w'� � �.t+-Iv�" (-I [n �cr I �Jl� 1...:�� hC�Ow' `i �� rt C ►Y�iS <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> / Toilc� A/C-air handling unils <br /> __�_ Da�hlub _ Forced air systoms <br /> _L Lava�ory(wash basin) _ Gas piping <br /> Showor Waton c�aler <br /> � Kilchon sink 8 disposal _ Gas(iroplace <br /> Dishwasher ._ Gasrange <br /> Clothes washor Clothos dryer <br /> � � Wator hoaler _ Rango hood <br /> Sink(service/badrtap/olc) Ezhaust lan <br /> Back(low prevenl�r Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Ro(rlgeration <br /> Grcasa Irap Woodslove <br /> Roof drains Other <br /> _ Olhor Pr pl�iC�� 9a.Ki,S('� — . <br /> — - -�'_l��- — <br /> CITV tlF EVERETT LOCAL 9ALES TAX CODE IS]105 <br /> I horoby coritily Ihal I have read and oxamined lhis applicalion�nd kn�w tho same to be true end conect. All provisions of laws and <br /> ordinaces goveming Ihis type ol work will bo complied with whother spociliod harein or nol. The granling of a permit does not presume <br /> to c�ive aulhorily to violale or cancel Iho provision ol any other state or local law regulating consWction or the perlormance o( <br /> construclion. Thal I am au�horized hy Iho owner ol lhis property lo perform Ihe work(or which applicalion Is made and I wmply wilh�he <br /> Sla�c Ger�(raclors Law 1U.27 RCW �nd 296.200 WAC. / <br /> �� �, , ? ILi�`/1., ��f Z/Z`/ �D 9 <br /> Si�n ue ol Owned 'oNraclorlAulhorized Agenl Dala <br /> �.___--_.. . .--------- -- ------- — - - <br />