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P�RMIT APPLICATIGN <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT,WA 98201 U �J��_ /� � <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org � �t <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �U �O2—�/ <br /> SITE ADDRE53 ,Q� PARCEL TAX I.D.k PERMIT# <br /> -� �u ; �- ����s� ,� ��«� � r�, �o�. --a,� 7 <br /> � LEGAL LOTNO. BLOCN TRACT <br /> DESC. �S �C- S�.�At_tJFL.1-S 2-"� HA,I _ <br /> OWNER ADDRESS CITY2IP PHONE <br /> Si" �/eN :TC.HA/ �.qA/DSv��/C S �Cc�//5 �, �cq�( 8o�heLC C42s)7sq -2e) <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> STEUE L.NNlY�ii�?lL S Annt 4 <br /> CONTRACTOR A�DRESS CITYRIP PHONE <br /> SrF��FN ,T LANDSVL�Zk �c��lstr���}�o�J LLC 3�f�i�CC tJN <br /> CONTR. UCENSEN �SL�I Z �'� zs��5q'Z�� Z- <br /> •�>T�vE ;TL �lS� kc� _ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S r �L _Eloclric �Gas__Olher <br /> WORK DESCRIPTION � <br /> -�'�C'�b'-��- �`-t�f,v��cy��'f�-' <br /> PLUM8ING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> C�^ Toilet A/C—alr h2ndling uNts <br /> �c_ Balhlub � Forced air sysloms <br /> _� Lavatory(wash basin) � Gas piping <br />� � Shower �L Wa�er heater <br /> � Ki�chen sink 8 disposal �. G2s lireplaco <br /> _ ��'� Dishwasher �2 Gas range <br /> �� Clolhes washer � Clolhes Aryer <br /> �2 Water hratcr �_ Range hood <br /> Sink(service/badmoplolc.) � Exfiaus�lan <br /> Backllow preveNor _ Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Rofriyeration <br /> Grease trap Woodslovo <br /> Rool drains Olher <br /> Olher _ <br /> CITV Of EVERETT LOCAL SALES TAX CODE IS J105 <br /> i I hernby cerilily ihat I have road and ezamined Ihis applicatlon and know ihe same to be lrue and correct. All provisions of law�end <br />� ordinaces c�overning this type o(work will be complied with whelher specitied herein or not. The granling of a pannit does nol presume <br /> lo yive aulhurity lo violate or cancel the provision ol any olher state or local law regulaling conslruction or the peAormance ol <br /> wnstrur.tion_Thal I am�thorized by Ihe owner ol this property lo perform the work for which application is made and I comply with the <br /> State Cont r.lors Law'1827' d 296.200 WAC. <br /> � � " 1 ' , <br /> Sipn�o wn /ContractorlAulhonzed Ac�en! Dale <br /> i/ <br /> Z <br />