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-- -- -- --, <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM r c v 3 �� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> ��Z� - -�JINbO�-� � ,�� c �io -� `l3 <br /> LEGAL LOi NO. BLOCK TRACT OR SUBOIVISION p <br /> DESC. _ �-- .___ —.____ <br /> 1 <br /> �OW ER ADDR[SS CITYIZIP PHONE <br /> ��1'_���_�L�_ 'L3G�z-�,��+,� S _l�"��nyaa.�z <br /> TENANT Np�,F � CONTACT FOR PERMIT PIiONE <br /> E-MAIL <br /> �O�J�A�O� AOjJh��5 —�CTfYl�15--�7hI16A� <br /> / `/ <br /> CONTR. LICENSE k (,. lJ� / l�L-C� <br /> ----- ------.. ._ .._._ _. .._--.._-_.-- �—�-----�---- -----�----------- <br /> USE OF�UILDING I — fIEAT SOURCE I CONTRACT PRICE OF WORK <br /> Glcdric V l��u Oth��r <br /> -----�--.. _—-- --------------— --- <br /> _ ._---------- _.__—_..----- ----- <br /> WORK OESCRIPTION � � <br /> -------- _. -- - - ._--� - -- <br /> —_-- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM — — NO. TYPE OF FlXTURE OR ITEM <br /> Toilcl NC -air handliny units <br /> _ 6athtub _� Forced air systr,ms <br /> -- Lava�ory (�ti:ish basin) �- -- 'Gas pipiny <br /> __ Shower � lNnter heal��r <br /> _ Kilchen sinV A dir�,pusnl _� Gas�ireplace <br /> Dishwashcr _. Gas range <br /> Clolhes washcr - Clothus Jryer <br /> W�len c�alr.r Rango hood <br /> Sink(sr,rvicelbadmo�d�•(c.) I [xhaust lan <br /> Backllow preventcr _ Heal pump <br /> Urinal Unil hea�cr <br /> DrinF,iny fountain Bollor <br /> _ Pluorurain _ Refrigeraliun <br /> Grcasn Irap _ Woodslove <br /> Rool drains Other <br /> Other --- -- ---- <br /> ___ __CITY OP EVERETT LOCAL SALES TA%CODE IS J105 ___ I <br /> I hereby cerilily thal I have read and nxamined Ihis apphr„dion and V now Ihe same�o bo Irur. and corrocl. All provisions o(laws and <br /> orAinaces�ovr.rniny this lypo ol work will be complied with�vhelher specifieA hr,rein or noL The yranting of a pennit does not presume <br /> lu{�ive mdhonly tu viol�to nr wnr.el U n proaisiun ol any ulhur slalo or local law reyulating conslruclion or the pedormance of <br /> cunstruclioa lhal I am authorimd by ie own��r ol this �n��perty lo perlorm the worh br which applicalion is made and I comply wilh Ihe <br /> Sla�a Cun�ridurs Law 1N.27 RCW �n '9fi10U 11'AC � <br /> � � � <br /> � b - o <br /> �----- � -- - _.--�---- , — <br /> Signaluro ul Ownr,rlCuNr ,urlAu�hWi� �d ��on� a <br />