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- - ---- <br /> PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES I <br /> �, 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425•257-8810- FAX 425-257-8857-www.everettwa.org <br /> �I APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � _a 6-07 I <br /> 'i SITE ADDRESS PARCEL TAX I.D.N PERMIT N � <br /> 703'CAIttiON ROAD � �;���' 'J — i <br /> � LEGAL LOTNO. BLOCK THACT I <br /> � DESC � <br /> ; � <br /> OWNER AODRESS CITYIZIP PMONE I <br /> I <br /> JOGI.?Al'Tf RSON <br /> �� TENANTNAME CONTACTFORPERMIT PHONE <br /> I;I�N ROHINS(�N-1'.LM51.11�: 13601 J03-7dG� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> �20f31N50N PLUM(3WG WC '_y3?0 I'_d"I II AVF N.li. ARI.ING"ION Q8'_�i l3GOW07-7463 I <br /> CONTR.LICENSE N(tp-�JI-NI'-�27�(�� <br /> ; USE OF BUILDING HEAT SOURCE � CONTRACT PRICE OF WORK I <br /> Electnc Gas Other �70110 � <br /> ItiWGLI: fA�111.Y RIiSIDI{NCI[ — — — , <br /> I, WORK OESCRIPTION � <br /> I <br /> I <br /> IINtiTAI.I. fllili tiPRINKI.IiIt tiYti'I7:M IN NI[N'tiPR � <br /> � PLUMBING MECHANICAL I�I <br /> �I� N0. TYPE Of FIXTURE OR ITEM N0. TVPE OF FIXTURE OR ITEM <br /> �i Tmlet _ A/C–air handling urnls �I <br /> I [�athtub _ Forcetl av systems I <br /> ' Lavatory(wash basin) _ Gas piping I <br /> ,� _ Shower _ Water heater <br /> ; Kitchen sink&disposal _ Gas fireplace <br /> • Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood I <br /> i Sink(servicePoadmop/elc ) _ Exhaust lan i <br /> �� BackOow preventer Heat pump , <br /> � Urinal _ Und heater � <br /> � Drinking Founta�n _ Bmler �, <br /> '�� Floor drain _ Rehigeration �i <br /> j Grease trap _ Woodstove ' <br /> � Roof drains Other <br /> I, _ Other � ���-- <br /> CITV OF EVERETT LOCAL SALES tA%CODE IS 7105 <br /> I hereby cen6ty Ihat I have read and examined this apphcahon and know the same to be true and wnect All provrs�ons of laws and <br /> ordinaces govermng this type ol work wtll be complied wdh whether specdietl�erein or not The grantmg of a permit dces not presume <br /> �. to give authority to violate or cancel the prowsion of any other state or local law regulahng construcUon or the peAormance of <br /> � construclion That I am authonzed by the owner of this property to perform the work for which application is made and I comply wdh ihe i <br /> Slate Coniractors Law 70 27 RCW and 296 200 WAC � <br /> , , i <br /> , � I i.; 'G"C, '' <br /> I SignaWreofOwner/ConiracronAuthonzed gent e�e ( � <br /> �� <br />