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PERMIT APPLICAT�ON <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 ID "016`�6 <br /> SITE ADDRESS PARCEL TAX I.D.N R IT A� r�� <br /> � � � " Lh�nwK Dr�y� pe voo 0o uo <br /> LEGA LOTNO. BLOCK TRACT <br />� DESC. 5 S'o�J(1�.Vi �`-� T/'ac'�'S <br /> OWNER ADDRESS CI7Y21P PHONE r{,�•LS <br /> L <br /> �c•-�K �vcw�i � v1lc� erS /2211 V{NPS. C��. P�•�TpS` ��'I�k�IF-- 9dt�s .��/Q -9SSu <br /> TENANT NAME CONTACT FOR PERM�T PHONE <br /> Fra�� T , t'lorn��� Zo6 -769- o�e � <br /> CONTRACTOR P�_� K Av� Q� � Ic�a/'3� ADDRESS CITY2IP PHONE <br /> IzzL� v,tty. ��{.�. ri. M,�, i� �'IzS� <br /> CONiR.LICENSEM P�RKAA B9 � �P5 s� ��` ��s 9dz�s 3Y9 -9Sso <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �� nf �c F,+�/ly � I�� _.Eleclric �CGas_Olher Gf00� DOO <br /> WORK DESCRIPTION �� �.4� <br /> ����j�� MECHANICAI. <br /> PL B <br /> N0. TVPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> /� Toilot I I I I A/C-alr handling units <br /> � Balhtub 1 i I � Forced a(r systems <br /> � Lavatory(wash basin)J'N-1 �� Gas piping <br /> 2. Showern ! Watorhoaler <br /> � Kitchon sink 8 dis{wsai ! Gas Iireplace <br /> � Dishwashor � Gasrange <br /> � Clothes washor / Clolhes dryer <br /> � Walor haator T Range hood <br /> � Sink(sorvice/banmup/otc.) Z EzheusUan TTf� I I <br /> Backflow prevonl�r _ Hoal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boller <br /> Floor drain Rofrigeralion <br /> Grnaso Irap _ Woodslove <br /> Roaf drains Othe� <br /> Olhar <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify Ihat I have read and examined this applicalion and know the same lo bo We and correcl. All provisions ol laws end <br /> ordinacos govcrninc�this typo ot work will be complied wilh wholher spacified herein or nol.The granting ol e permil daes not presume <br /> lo give authorily to violate or cancol Ihe provision ol any olhor stale or local law regulating conslruclion or lhe peAormance o1 <br /> construclion. Thal I am authorized by the ownar ol thls property lo porform the work for which application is made and I comply wilh lhe <br /> Slato C raclors Law 18.27 RCW and 296.200 WAC. <br /> �/ o� <br /> Sic�nalu of O e n r orl lhorized gont e �I <br /> L <br />