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P�r�MIT APPLICATIO�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE DDRESS � PARCEL TAX I.D.p PER�MIT k <br /> a �' - - ,� .-02 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER , , ' ADDRESS CITYIZIP PNON <br /> O,(•779�3��c <br /> �=�/ . �Gy�� �y� �,1� ,�,� � �� ,� - 3 5 d ���, <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �/RA�`/�I nrI/ /1`'Yit-� E�MAIL ICFII� 1^C 0 �SC�hP�:c�, w <br /> � � �iT4RiF� <br /> GlNhe✓ <br /> CONTR.LICENSE p <br /> USE OF OUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> V��' l_ G.«�_�.__------�[lor,tilc _�Gas___O�hor I -'Y �-f9�i r�j <br /> �`-'� <br /> WOf�K DESCRIPTION / �>��� <br /> .��) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> lbilc� � � _ _ NC-air handling unih <br /> p,p����� _ Forcod air sysloms <br /> Lavalory�wash basin) G�s piping <br /> Shower Water heabr <br /> Kilchen sink 8 disposnl Gas firoplace <br /> D�shwashor Gas ranga <br /> Clo�hes washnr Clolhes dryor <br /> Water hoaler Rango hood <br /> Sink(servica/bar/mop/olc.) _ Exhausl lan <br /> �ack0ow prevenler Haal pump <br /> Urinal Unit heater <br /> Drinking FouNain Bollor <br /> Floor drain Ro(rlgeration <br /> Greaso trap Woodstove <br /> Roof drains Olhor <br /> Olhor __ <br /> CITY OF EVERETT LOCAL SALES T/Ui CODE IS 7105 <br /> I heroby c�rritify thal I havo road and oxaminod this applicalion and know the same lo be true and correct. All provisions of laws and <br /> ordinaces governing Iliis lypo ol work will bo compliod with whelhor spacified horein or not.The granting of a{wrmil does not presume <br /> to give au�hority lo violat�or cancel�he provlsion of any other stale or local law regulaling conslruclion or Ihe porlortnance ol <br /> construclion. Thal I am aulhorized by Ihe owner ol Ihis property lo pedorm Iho work for which applicalion is made end I comply with the <br /> Slata Conlradors Law�l1.27 R W anA 29f2UU WAC. <br /> i <br /> ",' :r.�«- � io-i9-� 9 <br /> Signatur �I Owned Nrador/AulhorizoJ Agon� Date <br />