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P'�RMIT APPLICATI(��V <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 ACCEPTEO FROM 8 AM TO 4 PM �� �a.-� 6 <br /> SI7'E ADDRESS PARCEL TAI(I.D.# PERMIT# <br /> ;,-� C� � • /��o tZ D _ LD�o�d - oS4 <br /> LEGAI LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRESS CITYIZIP PHONE <br /> C nrs�n�p 5 �� �S1 5�`Pct�tE 2nv _ 2fi� -3Too <br /> c c o)a�r- 6 v P a <br /> TENANT NAME CONTACT fOR PERMIT PHONE <br /> ��.� Pe NIetiNPN�Z FE L� PE �1GtiNAND�L <br /> CONTRACTOR � SN 1- (JMb�YQ ADDRESS CITY/ZIP PHONE <br /> J $�to 6tr A� �✓ , 4zt 34�d S"� oo <br /> CONTR.LICENSE# S'�'�I'� L}vqQlc� wA 9 �ZV,t <br /> c s n/ P L /' �` � 6 C Nt w ,c <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �j�IOG�(L� I _Eledric _Gas_Other <br /> .�--- <br /> WORK DESCRIPTION <br /> I`�1 ' � ., ^,: r � A�� R.�U�1� DouR- pPeA�iNl� S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Bathtub Forced air systems <br /> � Lavatory(wash basin) _ Gas pipmg <br /> Shownr _ Wator hoater <br /> Kilchen sink 8 disposal _ Gas fireplaco <br /> Dishwasher Gasranga <br /> Clothes washar _ Clothes dryer <br /> Water healor Range hood <br /> Sink(servico/bar/mop/etc.? _ Fxhaust lan <br /> DackOow proveNer __ Heal pump <br /> Urinal Unil hoaler <br /> Drinking Fountain Boiler <br /> �Icor drain t _ Refrigeralion <br /> Grease trap _ Woodslove <br /> Roof drains Olher <br /> Olhar _ — <br /> CITY OF EVEHETT LOCAL SALES TA%CODE t5 J105 <br /> I horeby coritily Ihal I have road and�xamined Ihis applicalion and k:iow the sama to be lrue and correcL All provisions ol laws and <br /> ordinaces�ovorning Ihis type of work will bo complied with whelher spoci(ied herein or not.The granling of a permil does nol presume <br /> to give aulhorily lo violalo or cancel the provision ol any other state or local law regulalina wnslruclion or Ihe per(ormance of <br /> conslruction.That I am authorized by tho ownor ol this proprrty to perform the work lor whlch appllcation Is mada and 1 comply wilh lhe <br /> Stato Coniraclors Law 10.27 RCW and 296.200 WAC. <br /> �� �- . �:.,. � l D— ��� ��i <br /> Sig turo Own�r/ on ractorlAut orized Agenl Dato �ry <br />