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'� ;RMIT APPLICAT�� _ N <br /> CITY OF EVERETT PERMIT SERVI�ES <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 - DEBIT& CREDIT CARDS ARE N(.7 ACCEPTED <br /> SITE ADURESS PARCEL TAX I.D.# PERMIT d <br /> .a�.�SWc leD 2�05D'7 oo�jo2� J , � -. -�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYf?IP PHONE <br /> J�M r��,� 1?�l4 2o�h ST � �V�(�t!� W� 4�25�08 2852 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �'-�'arlq2� o� 4"?��� ��1 <br /> CONTRACTOR l.D�'<ESS CITY2IP PHONE <br /> I�It�MWi''f CoNSf"P-�[1Gf� 120w- /��j' SW. �.1°�i C' �� �b2�.� <br /> CONTR.LICENSE M <br /> I���c'I IG6lb�It�T I� <br /> USE OF BUILD�NG HEAT SOURCE I CONTRAC7 PRICE OF WORK <br /> �j� � <br /> ���C�/ _Electric �Gns_Olher (N�r� <br /> WORK DESCRIPTION <br /> 1�k�y�f Gorl�3iKUCt[�h{ . �o urtiCf's ��(t�'Ct�l� . <br /> ' r ' ^ � j= <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FI%TURE OR ITEM N0. TYPE OF FU(TURE OR ITEM <br /> Toilel A/C—air handling units <br /> Balhlub Forced air systems <br /> Lavatory Qeasli basin) Gas pipin� <br /> Shower Walor heater <br /> Kilchen slnY,8 Jlsposal Gas fireplaco <br /> Dishwashor , Gasran�o <br /> Clolh�s waslicr Clolhos dryer <br /> Laundry tray _ Range hood <br /> Sink(scrvico/bar/mop/olc.) _ Ezhausl lan <br /> DackOow provontor _ Hcat pump <br /> Urinal Unil heater <br /> Drinklnp Fountain Boi�er <br /> Floor drain Rotrigeralion <br /> Groaso Irap Woodstove <br /> Rool drains Olher <br /> Olhor <br /> CITY OF EVERETT LOCAL SALES TAX CODE 19 J105 <br /> I horoby cerilify that I have road and examinod this application and know the same to be true and cortod. All provisions ol taws and <br /> ord�nar.as gaieming lhis type of work will be complied wilh wholhor specifiod herain or nol.Tho granling of a permit dons not presume <br /> to pivo aulhority to violalo or cancol tha provision ol any other state or local law regulaling conslruction or Iho peAormance of <br /> conslruction.Tha u orizod by the ownor ol lhis property to perform the work lor which applicatlon is made and I comply with lhe <br /> Stato Co�t a L F CW and 296.200 WAC. <br /> Io • 2 •05 <br /> Si�nature o N• r/ n rector/ uthonzod c�ent ate <br />