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i <br /> PERMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT N <br /> �3 w. c��. a c� I' aln r� -c,z <br /> IEGAL LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER ADDRESS CITY2IP PNONE <br /> �E//Vly �-Zs-zbG-69� <br /> TENANT NAME CONT�N R PERMI �� PHONE Z�'u� <br /> Ti�«� 's - �:���av <br /> CONTRACTOR ADORESS CITY2IP PHONE tf2�=j�.�j' <br /> G�ir�A� ��.YS�uc.nc,�C'o, �a <uc9s.�,za ���9��3 �' <br /> CONTR.LICENSE N <br /> �aE/tIGQ('r'�-�8 3C�� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Cp�'�� �)�� _Eleclric _Gas_Other <br /> WORK DESCRIPTION <br /> a� y�-Z� ��, v-� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Toilel FUC—air handling unils <br /> Balhlub Farced air syslems <br /> Lava�ory(wash basin) _ Gas piping <br /> Showor _ Water healer <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Oishwasl�er _ Gas range <br /> Clolhes washer _ Clolhes dryer <br /> Water hoator Range hcod <br /> � Sink(service/bar/mop/etc.) _, Eahausl(an <br /> � BackOow prevontor _ Heat pump <br /> Urinal Unn heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Greaso lrap _ Woodslove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES iAX COOE IS 7105 <br /> I horeby coritify Ihat I have read and examinad this appl;cation and know lhe same lo be lrue and correcl. All provislons ol laws and <br /> ordinaces c�overning this type of work will be complied with whelher spocified hereln or not.The gra�ling of a permit does nol preaume <br /> to givo authority lo violate or cancol the provision of any other staln or local law regulaling wnslrucUon or the pedormance of <br /> conslruclion.Thal I am aulhorized by lhe owner of lhis propoAy to pe�form Ihe work for which application is made and I comply wilh lhe <br /> Stalo Contractors aw 18. W r�d 296.200 WAC. <br /> � � �-zsvh <br /> ig ure n Conir2ctor/Authori d Agent DaW <br />