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g - i3 -r� <br /> PCRMIT APPLICATI(�N <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � r 5 �. Gw.�,n�o 2� 9 ao � dov 'I� - o� <br /> LEGAL LOT NO. BLOCK TRACT PR SUBDIVISION p <br /> DESC <br /> O1WNER ADDRESS CITY2IP PHONE <br /> �Jb�.tJ �ICLSI�I-�'��I� -I�II -r�' � C._�4-SLNO ¢9 �Cu�2. <br /> TENANT NAME CONTACT FOR PERMIIT PHONE .� [,�Z'Z <br /> �Mlll I _��Li. �.N� u� E•MAIL Y-I%-/ <br /> -Lr6RT�A�Ybf2 - <br /> CONTR.LICENSE M V `^"`� '� <br /> USF OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 2 At»NV r/ <br /> s'�Z __Electric _�Gas_Olher ;/O��.700. O 0 G�J1C� — <br /> WORK OESCRIPTION �/��p00 • a0 [�,,p,�y�a <br /> �E+-n-! Li V t,� S�✓}LE 6�'1/6�Z (�1 S TL.�L Lci /'p��lV/J�?T7A1� <br /> ?�l �,,.-I � � '2�� ' L rrv v�j� b�-�fl -- <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURF.OR ITEM <br /> Toilet A/C-air handling units <br /> Balhlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> � Shower _ Waler hoater <br /> hitchen sink&disposal _ Gas lirep�ace <br /> Dishwasher _ Gasrange <br /> Clolhes washer Clothes drycr <br /> Walar healer _ Ranc�e hood <br /> Sink(service/bar/moplelc.) _ Exhausl�an <br /> 8acklluw preventer _ Heat pump <br /> Urinal Unil heater <br /> Drinkinc� Founlain _ Boiler <br /> Floor drain Refrigeratinn <br /> Grease Irap _ Woods�ove <br /> Roo(drains Olher_ _ <br /> Olher <br /> CIiY OF EVEREtt LOCAL SALES TAX CODE IS J705 <br /> I hereby ceritify thal I have roaA and exemined this applicalion and know tho same to be lrue and correct. All provisions of laws and <br /> orAinaces governirg this lype of work will be complied wilh whether specilied herein or noL The granting of u permit does not presume <br /> to give authority to violate or cancol lhe provision ol any other slalo or local law regulating conslruction or the pedormance of <br /> constructiun. Thal I am aulhorized by Ihe owner ol this property to peAorm tho work r which application is made and I comply with the <br /> State Conlra s Law 18.27 RCW nA 296.200 WAC. <br /> i f� O� <br /> SignaWr•o Owneri onlraclorlAulhorized A� nt D le <br /> 'l2 <br />