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PtRMIT APPLICATIC�N <br /> CITY OF EVERETT PERMIT SERVICES <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 <rl6`- �I q <br /> SITE ADDRESS PARCEL TAX I.D.# �RMIT p <br /> 7� 30 �/�QS�v ka �L'/� I`l oD3773�i�o 7'/ac. :� Lo�S�� -3� <br /> LEGA LOTNO. BLOCK TRACT N,� yc�� NLC.� ��y S� ��7� � ��`�K�'�`� 5 '� <br /> oesc. 7 y �3�v e ' tiTi.t. �vo. ^ CUM <br /> OWNER AODRESS ITY IP P ON <br /> �/ �i (O L.ac�S� <br /> I� £� � S�f/�..�M�= .�"Mvr�1"1���.��`�', �i l`� �-[i�/2k � 4Jla ��:,zQ� 2 <br /> TENANT NAME C NT CT FOR PERMI ONE <br /> -'�+ �;`ti Ekl,�, �s 3�tq�.�p:�• <br /> _ , <br /> CONTRACTOR ,�/,�� QS��^/ ADORESS CITY2IP PHONE <br /> , V':� , � �,,2p fc. N1 F(-l$T�/k . . . �1�� <br /> CONTR. L�CEP}S,€/�''•';• .1 • , � ,�t'- � c�yT�u' /�� ' r' �����`"�.��1 ' 3i9�Qo,Z <br /> _, K�S ������:.9���'7 ., � <br /> USE OF BUILI,�N&�y,t�,� .,w�y ; , # � ``n}��,��OURCE CONTRACT PRICE OF WORK <br /> ��) ,��� � _Eleclric _Gas_Olhor <br /> �-I <br /> WORK DESCyR�PTION <br /> �i �,Fr,�«.�-e GY1/tµG-,4 �o"�J (,�l� Y ' <br /> �� •- > <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> lbilel A/C–air handliny unils <br /> Bathtub Forced air systoms <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Walor heater <br /> Kitchen sink& dis�x�sal _ Gas tireplace <br /> Dishwashcr Gasrango <br /> Clothes w�ishor _ Cfothes dryer <br /> Walor hoater Range hood <br /> Sink(servicoNadmop/Mc.) _ Exhaust fan <br /> �ackllow preveNer _ Hoal pump <br /> Urinal Unit healer <br /> Drinklrig Fuunlain _ Boilur <br /> Floor drain Refrigoration <br /> Groase Irap _ Woodstove <br /> Rool drains O�her <br /> -- Olhar__ ____ —_ — <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby corilify Ihat I have read and ezamined lhis application and know Ihe same lo be true and correcL All provlsions ol�aws and <br /> ordinaces goveminc�lhis type ol work will be complied with whether specified heroin or not.The granling oi a permil does nol presume <br /> to give authorily lo violale or cancel tho provislon of any olher state or local law regulating consfrucUon or Ihe peAormance of <br /> conslruclion.Thal I am autliorizod by tho owner of ihis {�roperty lo perlorm tho work for which application Is made and I comply wilh the <br /> State C�onUac�ors Law 18.27 RCW and 29f.200 WA� <br /> /•��`�C J/r.r. C �.�'�_� ��n:'.:��I�.... �..' ) � <br /> /...� J.h-�.. . S���f�` <br /> SignaWre of Ownerfonlraclor/Au�honzed Agenl ate �/ <br /> z <br />