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i —1 <br /> PERMIT APPLIC,ATION <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.N PERMIT N <br /> "'C�� G✓, C/�5 /No ('-� q- <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITV2IP PHONE <br /> �oL I !� 6 <br /> TENANT NAME CONTACT FOR PERMR VHONE <br /> ��E �N� � 42s=�7�— Zr9� <br /> CONTMCTOR ADDRESS CITV2IP PHONE <br /> ��� �� <br /> CON LICENSE N <br /> USE OF BUILDINO HEAT SOURCE CONTRACT PRICE OF WORK <br /> �VI.��A�A�L"� J1� �6 I _Electdc __Gas_Other �L��G 0 <br /> WORK DESCR�PTION <br /> /N s i ir c.� Pl� u,E` �-/�-�-�`- <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FDfTURE OR ITEM NO. TVPE OF FORURE OR ITEM <br /> Toilet AIC—air liandling unils <br /> Bathtub Forced elr systems <br /> Levatory(wash basin) _ Ges plping <br /> Shower Waler heator <br /> Kilchen sink 8 dlsposal _ Gas fireplece <br /> Dishwasher Gasrange <br /> Clothes washor Clothes dryer <br /> Laundrytray _ Rangehood <br /> Sink(servicolbarlmop/etc.) _ Exhau�t fan <br /> Beckflow prevonter _ Heal pump <br /> Urinal Unit healer <br /> Drinking Founlain Boiler <br /> Floor drain Retrigeration <br /> Grease trap _ Woodslovo <br /> Rool drains Other <br /> Olher <br /> CITV OF EVERETT LOCAL SALBS TAl(CODE IS�105 <br /> I horeby ceritify Ihat I havo read and ezamined Ihls applicalion and know lhe same lo be true and correct. All provisions ol laws and <br /> ordinaces governing this typo of work eiill be complied with whether specitied hereln ar not.The granting of a permit doas not presume <br /> to give authority to violate or cancel thu provision of any other slate or lacal law ragulating construdion or the peAormance of <br /> consr,uction. Thal I am authorized by the owner ol this propeAy to pedorm the work for which application is made and I comply with:he <br /> State Cfmtr c�ors Law 1B 27 W and 296.200 WAC. <br /> 1�� .l hn/!"ci� l�7�� — <br /> � <br /> Si aWmo OwneACon�rectorlAuthonzedAyent Dale <br />