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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 i <br /> 425-257-8610- FAX 425-257-8857 - www.everettwa ory <br /> i <br /> ' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM l��� � <..��J .) <br /> I 51�lE ADDRESS PARCEL TAX I.D.# ' PERMIT tl i <br /> 3003 ' �so�iSeo/oo ioo _�Q S O b �— <br /> I f GAL LOT N0. BLOCK TRACT � <br /> DLSC <br /> I OWNER ADDRESS GTY/ZIP PNONE <br /> TENA��p0 � w� �///JJJ ��, �� <br /> , � - CONTACI FOR PERMIT PHONF <br /> ��-7e�_'�¢S Gv�1�'/'' (� �, G �?o� -.��✓.P-�— <br /> � CONTRACTOR 1/ �� CITY/ZIP PHONE <br /> .-�.�{'.�.t���' '1�,..E�., ..�+�c . �6ru S. /3s!'SG�...(• �c..c.-7-f Gc-, /(/�4 <br /> CONTR.LICENSE k �.. <br /> f/u�ADPZ 379 �✓D --- - ' <br /> � USE OF BUILDING HGAT SOURCF_ CONTRACT PRIGE OF WORK �� <br /> Y Eleclric Gas ��er f�� p p p o0 I <br /> �I � _'._ <br /> I WORK DESCRI N l '/ �/ <br /> �' �N71-rt�LG�i ��) ��.Z���t� � Q.-�+-.�.. C�// v/Q V .S , <br /> �/ <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM N0. TVPC OF FI%1URE OR ITEM <br /> Todet _ AIC - au hanGhng units <br /> � Bathtub __ Farced�u sy�tems <br /> Lavalory (wash basinl __ Gas piping <br /> � � Shower _ Waler heater <br /> � Ki�chen smk& disposal _ Gas f�replace <br /> Dishwasher _ Gas range <br /> Clothes washei ___ Cloth�s dryer <br /> Laundry tray Range hood <br /> -- Suik (servicelbadmopintc 1 _� Exhaust lan <br /> Baekflow picventcr __ Heal pump <br /> Unnal _ Unit healer <br /> Dnnking f-ountain _ �oiler � <br /> Floor drain ___ Refiigeiation � <br /> Grease Irap _ Waodstovr � I <br /> Rool drams _/L Other_��.S <br /> ..— Other --- — <br /> CITV OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> i hereby cenlily Ihat I have read and esamined ihis application and know�he same lo be lrue and correct. All provisions ol laws and I <br /> �.�rdmaces goveming�his type o1 work will be complied with whether specilied herein or not The gran�mg of a permit does not presume <br /> tc, ywe authonty to violale or cancel R�e provision ol any other state or local law regulaLng construc6on or the peiformance o1 , <br /> ��.onslructinn That I �m aulhonzed by the owner of Ihis properly lo perform Ihe work br which application is made anA I comply wdh the � <br /> i <br /> Stale Contiar.tnis L�rv+ 18 27 RCW and 296 200 WAC. i <br /> �a Q G�G�o� I <br /> „��n;i� r. nf�, .•� ri .,onliactoilAuthnri7ed Agent )aIF �j � <br /> _� <br />