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r�RMIT APPLICAI ��.N <br /> l i CITY OF EVERETT PERMIT SERVICES <br /> % �I ' � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � -�`� 425-25' 8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS AftE OT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.k PERMIT It /,! <br /> a��.��Flrlo (¢O �Lv050-] OO�j02�• � �/D ' �+1 <br /> L[GAL LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER AODRESS CITYIZ PHONE <br /> ��M �ab�u-� I�Iq- 2ofh sr � �V�t�tr Wa� q-25�, 2852 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I Ca.Pltpy Dtt�i Yt�G <br /> SL�N 4"'?�?�� S��-� <br /> I CON7RACTOR ADDRESS CITY2IP PHONE <br /> I�Krr'tlUrT CohlsTP-�C�cfiF /� w- �,�,�t' �t1' '�'2> 50�b2�'L <br /> CONTR.LICENSE M I LO <br /> _1°�y!t'� �G6lb"li'( �- <br /> USE OF BUILDING I — HEAT SOUR — CONTRACT PRICE OF WORK <br /> y�` nw^� � <br /> f��'����� [Ir.tirir, �G� Olher GYiC� <br /> WORK DESCRIPTION <br /> I��W Gorl�tleucttoN . (o ur4Cf� t�-�-na.l� . <br /> .— �A�-����, <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> ____ Toilet NC- air handling units <br /> ___ DalhWb Forced air syslems <br /> __ Lavalory(wash b.�sin) Gas plping <br /> ___ Shower Water h�atcr <br /> __ Kilchen sink&disposal Gas firepl,�r,r. <br /> __ Dishwasher Gasrang� <br /> ___ Clolhes washer Clolhes dry,�r <br /> -- Laundry Iray -- Rang�hood <br /> ___ Sink(service/bar/mop/Mc.) Exhaus!I;�n <br /> __ BackOow prevenler Hea!purn�� <br /> _ Urinal Unit heater <br /> _ Drinking Fountain Ooilcr <br /> _ FloorArain Refrigeralioo <br /> __ Grease trap Wuodslove <br /> __ Roof drains Olher <br /> Olhor — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I horeby ceri�ify lhat I have oad and examineA ihis application and know di2 same lo be Irue and correcL All provisions ol laws and <br /> ordinaces governing this pn of work will be cornplicd with wholher specified herr,in or not.The c�rantinc�of a permit does not prasume <br /> lo 9ive au0iority tu viol e or canrel Ihe pruvision ol.�ny othor slate or local law rec�ulatin�consiruc�ion or tho porformanco ol <br /> construclion. Tha , �u lorir.ed by Ihe owner of Ihis proporty lo perform Iho work for which application is made and I comply with Ihe <br /> S�atc Co ra L , �f CW rind 29C,.200 WAC. <br /> ID • 2�•0� <br /> Signature o w edC,ontractorlAu�hori��d Aqent p,�a <br /> L_._ <br /> . . .._ ._.. - —._ _... ..__. _. <br />