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r�RMIT APPLICAI ��,N <br /> 1'i CITY OF EVERETT PERMIT SERVICES <br /> / (I ' 3200 CEDAR STREET, EVERETT, W4 98201 <br /> � ��`� 425-257-8810- FAX 425-257-8857- www.evereftwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE OT ACCEPTED <br /> SITE ADORESS PARCEL TA%I.D.p P RMI7# �/) <br /> �. �si51N0 �2D Z�O�O� OO�jO'z� �/D <br /> I.EGAI LOT N0. BLOCK iRACT <br /> DESC. <br /> OWNER AUORESS :ITYlZ PHONE <br /> ��M r�.u,� r 2o iq- 20�� sr � �v��r- w� 4-25�08 28 s 2 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I �t'tA4/ Gd�-I t7�G <br /> 425 � �l <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> I�K�MIUrr CoHs`f-R1�(�q�. <br /> CONTR.LICEN£EM IZ�w-� 2�� � d'n5 � np�..� <br /> I��t'� �G6lb'lt'� �- � b 'GFJ�l� <br /> USE OF DUILOING � — HEAT SOUR I CONTRACT PRICE OF WORK <br /> ��V`J L� ��� ❑ecl�ic �G Olhcr �� � <br /> WORK DESCRIPTION <br /> 4��VJ Cortst(eu�TtoN • �o urtCf� �-��tt�l� . <br /> �� ��� �r <br /> " <br /> PLUMBING — MECHANICAL — <br /> N�� TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> __ Toile� A!C-air handling unils <br /> __ Balhlub Forced air syslems <br /> __ Lavatory(wash basin) --�— <br /> Shower ____ Gas pipinc� <br /> _ Kitchen sink 8 disposal ___ W��er heater <br /> Dishwasher __ Gas lireplaco <br /> — Gasrange <br /> __ Clothas washer Clothes dryer <br /> _ Laundry tray Rango hood <br /> _ Sink (sorvice/6admopielc.) � Exhaust lan <br /> _ BackOow prevenler Heat pump <br /> Urinal -- <br /> Orinkinq Founlain __ Unil healer <br /> Floor drain __ �oiler <br /> Greaso Irap _ Refrigeralion <br /> Raof drains _ Woodstovo <br /> -- Olher _ Olher-------.— <br /> _-- ----- - I -- --- — <br /> __ CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I hereby cerilily lhal I hnv� ead and examinr,d lhis applicalinn and p.now ihe same lo be true and correr,t. All provisions ol laws and <br /> ordinaces�overning Ihis pe ol work will be complied wi16 whether spocilied herein or not. The granting ol a pormit doos not prosume <br /> to give aulhority fo viol n,or cancr;l Iho provision ol any olher slale or locnl law regulaling conslruclion or iho pedormance ol <br /> consiruclioa Tha ���u iorized by Ihe owner ol Rii�properly to perlorm�ho work lor which applic��ion is mado and I comply wilh iho <br /> Slate Co ra L i .' , CW and 29G.200 WAC. <br /> �p • 2��0� <br /> Si��nature o w ed onlractor/AulhorizcA A9ent Dat� <br /> I — <br />