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��RMIT APPLICATIVN <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 B AM TO 4 PM <br /> SITE ADDRESS �—Z PARCEL TAX I.D.M P� IT N <br /> 3ao3 w• c�s�,�o � o6os -ff <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC.� <br /> OWNER ADDRESS CITY2IP H NE <br /> bDt�l N� <br /> TENANT NAME NTACT FOR PERMIT PMONE <br /> �30�/n�6 I ���oKS/v �ZS'-P7� �ZS�Y <br /> CONTRA OR ADDRESS CITV2IP PHONE <br /> �D L...S-� �(� <br /> CONTR.LICEN9E M <br /> USE OF BUILDINO HEAT SOURCE CONTRACT PRICE OF WORK <br /> �(�G�A,�r �Ut�G(� _Eleclric _Gas_Other �17G� <br /> WORK DESCRIPTION <br /> /NST�Fc.L / ..SL�G7�/dN /�/!-L�[_.�% /L-A-��- <br /> PLUMBIN(3 MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Tallel AIC—air handling units <br /> Bathtub _ Forced air systems <br /> Lavalory(wash bas�n) _ Gas plping <br /> � Shower _ Walerheater <br /> � Kitchan sink 8 disposal _ Gas Iireplar.e <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Clolhos dryer <br /> � Water heater _ Range hood <br /> Sink(servlce/barlmop/etc.) _ Exhaust fan <br /> Backflow prevenler _ Heal pump <br /> Udnal _ Unll heater <br /> _ C.inking Founlaln _ Boiler <br /> Floar drain _ Refrigerallon <br /> Grease trap _ Woodstove <br /> Roof drains _ Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS�105 <br /> I hereby coritily lhal I have road and examined this applicalion and know the same to be true and wrrect. All provlsions o(lawa and <br /> ardinaces governing Ihis type of work will be complied witii whether specified herein or not.The granUng ol a pormit doos nol presume <br /> to give authority to vlolate ar cancel the provision of any other slate or local law regula0ng construcNon or the peRortnance ot <br /> conslrucllon.That I am aulhorized by the owner of lhis property to perfor lhe work for which application Is made and I comply wilh lhe <br /> Slate Co lraclor��`a" 18.27 RCW and 296.200 WAC. <br /> � , G'�/'��' S Y 0� <br /> na e o wnedCoNractor/Aulhorized Agent Dale � <br /> L <br />