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P RMIT APPLICATION <br /> CITY OF EVEFccTT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425•257-8857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��-a�--0O <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> kl-1o���� EiE���� ��,T ��r �9�9 zzy � ���� C pS�l -6D5 <br /> LEGAL lOT NO. BLOCK TRAC?OR SUBDIVISION M <br /> DESC. �2 - LO ZL�9 E�E'��� D�U�S�o�.l "�qr <br /> OWNER ADDRES.i CITY2IP PHONE LOb <br /> �f��ErJ �IN 5 Co��rn.,� iaN <br /> �51� N SS'4Si SE,nrrt� �i9W3 S`rC-j�ol4 <br /> TENANT NAME CONTACT FOR PERMIT PHONE'}ZT " 25 Z-`T 2 u� <br /> �mn2e�.ix� �mr4'R-sy�on��CS� �1� �'b�'Mn.1 . C:JM <br /> ��� Dfs�cN E�MAIL � <br /> 11 -u z�c., - s`,c_ 2o� y <br /> �{f�JF�J IJltJq3 Gd.•�`;;2U�,��J IISII I�0 65 � Sf �L ���- <br /> CONTR.LICENSE p �Q W'', <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> 1�r,�r CFS�nr. N�� <br /> �'�N��rt � Eioctric Gas x Othor <br /> WORK DESCRIPTION "Tk10 C � ) , <br /> /�1Tn��� Fu �� A�� cuur+o V�� ,� •, IP * 19 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � T�ilol _ A/C-alr handling units <br /> �� Balhtub y Forced air systems <br /> � 10 Lavatory(wash basin) IJ Gas piping <br /> X�_ Showor 4 /f� Walor hoatcr a <br /> r .�'_ Kilchon sink 8 disposal a %� Gas lireplace '.3 <br /> Z Dishwashor � � Gasrango a <br /> .G Clolhos washer a �G Clothos dryor �� <br /> ,� f_ Walor hoatei � � Range hood a <br /> iink(sorvice/bar/mop/etc.) .w_ Exhausl lan 1� <br /> Elackllow prnvonler � Heal pump '�, <br /> Urinal _ Unil heator <br /> Drinking Founlafn Boiler <br /> Floor draln _ Rofrigeration <br /> Greaso lrap _ Woodstove <br /> Roof drains _ Othnr <br /> Other _ — <br /> CITY OF EVERETT LOCAL SALES TAl(COOE IS]105 ' <br /> I h�roby ceritily Ihal I havo read and ezamined this a{>Flicalion and know the same to be tnie and correc!. AII provisions ol laws and <br /> ordinaces governinp Ihis typ 3 of work will bo comptiod with whether spocified heroin or nol.The granling of a permft does nol presume <br /> lo c�ivo�ulhorily lo violalo or cancol tho provision ol any olhar state or local law rogulating wnslruction or Ihe performance o( <br /> construclion.Tha!I am aulhorized by tho ownor of Ihis proporty to peAorm tho wcrk for whlch application Is made and I comply wilh Ihe <br /> Slalo Coniractors Law 18.2 RCW and 296.200 WAC. <br /> �..�����"7 � _ � v��°� /� <br /> � $ignaWro ol Ownrrl o ractor n i+gonl e�e �/� <br /> G <br />