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� � P�RMIT APPLICATIUN <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 FHOM 8 AM TO 4 PM �—���� <br /> SITE ADD ESS PARCEL TAX I.D.p PERMIT p <br /> �l y,� �i' (:� �1 e ST�1��f Sf o ' S.. - c1�,� �jC��l��__11`� <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION N <br /> DESC. ���cl-,�0 <br /> OWNER ADDRESS CITY2IP PMONE <br /> i:v�^('C�n �'J/�i� �'• e � �c '�«' Y>>�riclw,i /�vr t15o� Se�l (7�� k'u- �>F.1,�3 <br /> TENANT NAME CONTACT FOR PERMIT PMONE C�G�,\ 3C��.� �J� <br /> _i / � ) � <br /> �L✓� ✓� / �✓�/,�:Cl�.J•1 ,�`-f�/li� �C�"L';t� E•MAIL ��nvrP �.^rn[�V,rwS; �h <br /> �,� � ^ ril�� 7 <br /> �l'✓ti7�t�l �ri(W .5�/1 't'/'�w/7�nr t'J S�J.Z �iv�/�[ Mrli��Ki�l� 1.�� 9l .�-.ZL ( j6c��1%�.(�J� Co,h <br /> 7 <br /> CONTR.LICENSE M - <br /> �r�n/�iVnl.�S �1'S3G� <br /> USE OF BUILDIHG HEAT SOURCE CONTRACT PRICE OF WORK <br /> _ElecVic _Gas__._ Other � ��� � <br /> WORK DESCRIPTION <br /> / S � .il'I r: �I .� 5 C �S /VJ.� ���UiNi�ri �"�c� �J�')tl�{'1 SiCncr I 1 C f/�.5 . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel A'C-air handling units <br /> Bathlub . Forced air systems <br /> . . Lavatory(�vash basin) _ .. Gas piping <br /> Showei ___ Water heater <br /> Kitchen sink& disposal _ __ Gas hreplace <br /> Dishwasher __ Gas range <br /> CloUies washer ___ Clothes dryer <br /> � Water heatr.r __ Range hood <br /> Sink(service�bar,mopi^Ic.) ._ _ Eahaus�lan <br /> . . Backllow preven�er _.__ Hea�pump <br /> Urinal .__ Uni�heater <br /> . Drinking Fountain ___ Boiler <br /> Flooidrain ___ Rcirigeralion <br /> Grease Irap . . _ Woodstave <br /> Rooldrains _____ O�her_____ <br /> O�hcr <br /> CITV OF EVERETT LOCAI SALES TAX CODE IS 7105 <br /> I hereby ceritdy Ihal I have read and eramined Ihis application and know the same to be irue and cerrecL All provisions ol laws and <br /> ordinaces governin�Ihis type ol work will be complied wdh whether speci(ied herein or nol.The granling of a permil does not presume <br /> to gwe aulhonty N violate or cancel Ihe provision ol any other state or local law regulaling construction er the pertormance ol <br /> conslrur�ion. That I am a 1 aized by e owner ol Ihis property to perloim ihe work lor which application is made and I comply with the <br /> Slate Conlraclors Law �2 RC d 296200 WAC. <br /> � � '�L <br /> Sig of � ner/ onlr ov uthonzed�l genl ale �/ <br /> z <br />