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I- lfj-r7 <br /> F �RMIT P.�P'LICATII�N <br /> CITY OF EVERE:TT 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 ADDRESS � �- �iL, `L PARCEL TAX I.D.# PERMI� <br /> 3�s3 G�. c�,s,�,� ��p J ,� �l , - � y <br /> LEGA lOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRESS CITY2IP PHONE <br /> (3oE1,�C <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> f�oE,N� � /���so�-s�i yz.r. o��.�s'9y <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> f3cJKaWSx�-ko25rnc <br /> CONTR.LICENSE M <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> {vl FG Electric Gas_Olher �L� 0 vu <br /> WORK DESCRIPTION <br /> /n15TM..�- �v�-1 l*Gr W�t,l� " Z25 LF <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilol A/C—air handiing unils <br /> 8athtub Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kilchen sink 8 disposal Gas tireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryer <br /> Walar hoaler Range hood <br /> Sink (servico/bar/mop/etc.) Exhaust lan <br /> Backflow provenler Hoal pump <br /> Urinal Unit heater <br /> Orinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap W oodslove <br /> Roof drains Other <br /> Other _ <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 9105 <br /> I heroby ceritily that I have read and examinad this applicalion and know the same lo be lrue and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whelher specified harein or nol.The granting oi a permit does�ol presume <br /> lo give authority to violale or cancel Ihe provision o(any olher stale or local law regulating wnstruclion or the peAormance ol <br /> conslruction.That I am aulhorized by lhe ownor ol this property to perform lhe work for which application Is made and I comply with the <br /> Statc Co tractor Law 18.27 RCW and 2962 0 WAC. <br /> �- J ��� il l� <br /> ^uignal e of OwnodCoNractorlAuthonzod Agent Date � <br /> � L <br />