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�--- - --- - -- <br /> FCRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-25%-b857-�n�ww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � � � �OY� <br /> SITE ADDRESS PARCEL'Al(I.D.p PERMIT 1! �/ <br /> � � ;� �( �i U� �V/ <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CIriIZIP PNONE <br /> TENANT NAME CONTACT fOR PERMIT PMONE <br /> ,U/�,Vi�D��i3 MA�I�uL�E��� � � q ���s �lal �r,� ��3�-9��3 <br /> CONTRACTOR Ll/'-/ /��iY°C) � � ADDRESS �� »�X ��I I �`✓��G1�/a' O y�P _ I-Z,3 <br /> �� P <br /> CONTR.LICENSE N r <br /> �1�7ylS��r'b'� <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WCRK <br /> Eleclric _Gas__Olher ��(.7�� <br /> WORK DESCRIPTION / � - <br /> ��r� ���^J.�'Ssl�l� S�✓'57�7 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE Oft ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel _ A/C-air handling unils <br /> Bathtub Forcod air systems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower _ Walor healer <br /> Kitchen sink 8 dis��sal Gas fireplaca <br /> Dishwashcr Gasrango <br /> Clolhes washer _ Clothes dry�r <br /> Watcn c�at�r _ Range hood <br /> Sink(scrvicclbarhnup�o�c.l Ezhausl�an <br /> Backflow pwventer _ Heat pump <br /> Urinal Unit heater <br /> Drinkinc� FouNain Boilnr <br /> Floor drain _ Refrigeralion <br /> Grease trap __ Woodstove <br /> _ Rooldrains _ Other�y� Lt �W ,Sy�e� <br /> Olher <br /> CITY OF FVERETT LOCAL SALES TAX CODE IS 7105 <br /> I heroby r.eritily lhal I have read and examined this application and know the samo lo be lrue and wrrect. All provisions of laws and <br /> ordinaces yoverninc�this type of work will be complied wilh whelhor specifiad horein or not.The yrantiny ol a permit does not presume <br /> tn�ivu aidhoriry to violate or cancol iho provision ol any other slale or local law regulaling consWction or the peAormance o( <br /> consVur,tion.That I am auth�rized by lhe owner o(Ihis p perty to perform lhe work for which app�icatlon Is made and I comply with the <br /> Slato C r lors Law . 7 R 29 .200� � <br /> , � . � � �� <br /> Sic� Ownr,r ontraclorl 1 horized A9 nt Dale <br /> �/� j <br /> --—— __ '/ _ — <br />