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PckMIT APPLICATIUIv <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 /> � �y - �r� <br /> � '�'` APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM D <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT q <br /> •_', � 7 — ��3i� v I�dsjO-o�� <br /> LEGAL LOTNO. BLOCH TRACT <br /> DESC. <br /> OWNER ADDRESS � CITYIZIP PHONE ,l12�_�2_5� S <br /> � I� � �NVES?MENTS Z��S� I �� S-t • �J� Tuc.At�/� q8z�r �iZS-Z31-IS / <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I gALB�R SiNGN �'12S _Z3i- 155 / <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR. LICENSF p -7-�� <br /> � <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclrir, Gas Olhrr <br /> WORK DESCRIPTIJN <br /> ��� � l <br /> ��2��.(�� � , , � �/,�.. �> <br /> PLUM8ING MECHANICAL <br /> NO. TVPE JF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet AIC-alr handling units <br /> _ DalhWb Forced air systems <br /> _ L�valory(wash basin) Gas pipinc� <br /> _ Showor Waler healer <br /> __ Kilchon sink 8 disposal Gas lireplacc <br /> _ Dishwashcr � Gasran�e <br /> _ Clolhes washer Clolhes dryer <br /> _ Walor heal�r Ronge hood <br /> _ Sink(smv�calbadnw���etc.) Exhaust fan <br /> _ ea��.now�«�-e�ie� Heat pump <br /> __ Urinal Unit hcalor <br /> _ Drinkinp Founlaln Boilar <br /> _ Floor draln Relrigoralion <br /> _ Greasc trap Woodslove <br /> _ Rool drains Olher <br /> _ Olher = <br /> —I ------- - -- — — <br /> CITY OF EVERETf LOCAL SALI:S TN(CODE IS 3105 <br /> I hereby cerilify Ihat I havo read and eKamineA�iiis applicalion anA know Ihe same lo be irue and correcL All previsions of laws and <br /> ordinac�s govr,rninc�this lypo ol work will bo complied wilh whelhcr specified herein or ml Tho yranting of a p�rmil doos nol presume <br /> to�ivo aulhcrily to viola�o or cancel the provision ol any olher slalr.or local law mgulahng construclion or lho perlormance o( <br /> construction. 7hat I am aulhorized by Ihe ownor o�Ihis property lo perlorm iho work lor which application is mede and I comply with Ihe <br /> Stalo Contraclors Law 10.27 RCW anJ�96.200 W�C. <br /> `�L_._ i ►3 � <br /> Signa�ure ol OwnodCanlractorlAidhorized Aganl ��� <br />