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f � <br /> P�RMIT APPLICATIarI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX d25-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM 7� 4,j—d� <br /> SITE ADDRESS /f PARCEL TAX I.D.p PERMIT N � <br /> S� U G(J C C�� i ,� o � 70 - 03.� <br /> LEGAL LOTNO. BLOCH TRACT <br /> DESC. <br /> OWNER AUDRESS CITY2IP PHONE <br /> _/ � � <br /> TENANTNAM�� / CONTACTFORPERMIi PHONE <br /> �- ^�.C�) � GCtiC_'� � ��lC�c�� %C�(�' �`/� �.3 i 7 <br /> CONTRACTOH � ADDRESS . CITV2IP PHONE <br /> !/C J__ <br /> CONTR.IICENSE N <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> — � �[Ieclrir, _Gas_Ulhor �L'-y''J <br /> WORK DESCRIPTION <br /> �� 6���� �_ � 'i '.. <br /> .) <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilot A/C-air handling ultits' • ' <br /> Dalhtub Forcod elr systems <br /> Lavatory(wash 6asin) _ Gas piping <br /> Shower Water hoator <br /> Kilchon sink&disposal _ Gas fireplaco <br /> ' Dishwasher Gasrange <br /> Clothes washor Clolhos dryer <br /> Walor hoater Range hood <br /> Sink(sorvico/barintnpletc.) Exhausl fan <br /> Backllow proventm � Heat pump <br /> Urinal Unit haaler <br /> Drinkinc�Founlain _ Boller <br /> Floor Arain Relrigeredon <br /> — Groaso Irap _ Woodstove <br /> Roof drains Olher <br /> Olhor <br /> CI1Y OF EVERETT LOCAL SALES TAJ(CODE IS 3105 <br /> I hcroby corili(y Ihat I havo road and examined this applic�tion and know Ihe same to be truo and cortect. All provlsions ol laws and <br /> ordinacos�oveming Ihis typa of wurk will bo complied with whelher specified herein or not.The grantlng of a permit does nol presume <br /> to give authority tu violato or cancel Ihe provision of any olher slate or local law regulating wnslructian or lhe performance of <br /> consiruclion. Thal I am aulhorized by tho owner o(Ihis property lo peAorm the work for whlch applicaUon is mado and I comply with Ihe <br /> State Conlractors Law 1027 RCW and 29�.200 WAC. <br /> SignaWro ol OwnodConlraclodAuthorized Agenl Oate 1/ <br /> L <br />