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——� <br /> PtRMIT APPLICATION <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 TAIC I.D.N P M T N <br /> .�G-i5 i✓La� ��i�iv'J /�DA�� i7 .1� ��l ��� <br /> LEGA LOTNO. BLOCK TRACT — <br /> DESC. <br /> OWNER ADDRESS CITY2IP PH:Nc <br /> r/ .: G�f �S�lT� fV�i2�lfJ LL/r <br /> TENA NAME I CONiACT FOR PERMIT PHONE <br /> j/ •"I /� /: l�tin i�K /�//�E ��LifL�' �Z!(� SJ i ' 1 4 fr' - --- <br /> CONTRACTOR ���y,������iy ADDRESS CITY2IP PNON[ <br /> /S_`>_) { RzSc��,P^'1 't�o� �t�1� cf s� �oM�.`� ��R i9��Z <br /> CONTR.LICENSE M FSS COC�� ��N(� <br /> 9 cri�� E�G`Uabo"1 <br /> USE OF BU�LDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electdc ✓Gas_Other �,�OU � <br /> WORK DESCRIPTION <br /> /n"�i�LL i� ��c/%�t .�CrlSi/iVG •'Ir'''Gi�l�lc� .N iii� U��ff/NG Cp��b-f/,1L S���kki.�. /�a� <br /> ��irrf Sif.lt� G� �c,�r�0 lTlr:c�'r�! �l� i-cr.�!- u.A�/ A FH�To^y 'S✓Pi'�•fi� ��iTi�•T. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel lVC-air handling units <br /> Balhtub forced air systoms <br /> Lavalory(wash basin) Gas plping <br /> Showor Water heator <br /> Kilchon sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clollies dryer <br /> Wator lieator Range hood <br /> Sink(sorvice/barlmop/olc.) Exhausl fan <br /> Backllow prevanler Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain Bo�ler <br /> Floor drain Relrigeratlon <br /> _ Grease trap Woodstove <br /> Roof drains � 011�er cc1tE� �d9+li`1L.-- <br /> Olhnr <br /> CITY OF EVERETT LOCAL SALES TAIC CODE IS�105 <br /> 1 horoby ceritify that I have read and examined this applicalion and know Ihe same to be lrue and correct. All provlslons of laws and <br /> ordinacos governing this lypa of work will be complied with whether specilied heroin or nol.The granling at e pertnil does nol presume <br /> to give authority fo violale or cancel the provision of any othor slate or local law regulaling conslruclion or lhe perlormance of <br /> construclion.That I am authorized by the owner ol lhis prope�ty lo parform the work tor which appllcalion Is made end I camply wllh Ihe <br /> Slate Contractors Law 18.27 RCW and 29fi.200 WAC. <br /> ��;� �,/% � � i����,� <br /> Signature of Owner tractor/Authonzed Agent ale <br />