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— -- , - <br /> PrRMIT APPLICATIuN <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 .�CCEPTED FROM B Ah1 TO 4 PM 6�-0a <br /> SITE ADURESS `'7��` Z`�a PARCEL TAl(I.D.# PERMIT p <br /> 3�03 w�5� caS�N� �n �_ 1�0�5-oy <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION 11 <br /> DESC. <br /> OWNER � � ADDRESS CITYIZIP PHONE <br /> �j�l i nl(i <br /> TENANTNAME CONTACTFORPERMIT PHONE �1S - `� ��' '2S �-" <br /> ;3ut IN(�� LC ��) F�$1'LN1g;,RJKI �cu.�c.�d� Asfernborti�� <br /> E�MAIL B,x�r�� C��� <br /> TVlil�——PAal1E— <br /> (�11rV M�r'i PA�NyC �NC1nJuillon� �{ILS iJ�,� I1Vc SJ�'lfl ���m_L 9231J`� <br /> CONTR.LICENSE p :�b -.�b Z-�I 1 L S <br /> �,A�VMCC �s��M�/ _ <br /> USE OF BUILDING HEAT SOURCE CONi RACT PRICE OF WORK <br /> N/r\ �_Eleclric _Gas_Othar � z 7 5 ' Jv � <br /> WORK DESCRIPTION <br /> ( ��N-LY.b li�• ��� �•i'�lY � Ut �Q I i I-li(,i� A �. �If�l�b'�I /-'l (3� 45- FI �V(�C �J���a 'f JUNDIIIIJ <br /> PLUMBIPIG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> Balhwb Forcod eir systems <br /> Lavatory(wash basin) _ Gas pipi�y <br /> Shower W ater hua�or <br /> Kilchen sink 8 d,spos�l _ Gas fireplace <br /> Disliwashcr Gas range <br /> Clolhes washer Clothos dryer <br /> Waler hr.aler Ranc�e hood <br /> Sink(se.rvicoPoarlmop�clr..) Ezhaust fan <br /> BackOow prevenlar _ Heal pump <br /> Urinal Unil hoalcr <br /> Drinkiny Fuuntain _ Boilcr <br /> Floor drain Refri�eralion <br /> Greasa trap _ Woodstove <br /> Rool drains Olhcr <br /> Olher — <br /> i <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br /> I hereby conlily thal I have read and examincd this applicalion and know the same to be Iruo and correcl. All provisions ol laws and <br /> urdinaces govemin�ihis lyp�ol work will bo complied wilh whother specilied herein or not.The granting of a permit does not presume <br /> io givc aulhority to violate or cancol tho provision of any olher slate or local law rec�ulating construction or the periormance ol <br /> cons�ruction That I am authorized by Ihe owner of this propeAy to perlorm tho work for which applicalion is made and I compty wilh lhe <br /> State Con�ractors Law 18.27 RCW and 296.200 WAC. <br /> � � jMAYJ� <br /> , ''� 4. ��.slc-,�=,�-�u <br /> Sign, re ol OwnerlConlractorlAulhorizod A�ent Date �/ <br /> L <br />