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--- -- - - - - -- --- - <br /> �RMIT APPLICATI� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257•0857 - www.everettwa org 2 ,_,16 .�,�� <br /> �� � APP�C�lqNS ARE ACCEPTED FROM 8 AM TO 4 PM ��6 �-.03 7 <br /> SITE ADDRESS ��� � r� � PARCEI TAX I.D.# — --- I PERMI p — <br /> �003 l,v � C/a-� �Na ru� 1 <br /> LEGAL LOT NO - -BLOCK _ TRACT OR SUBDIVISION p <br /> DfSC <br /> OWNER ADORESS CITY/ZIP PHONE <br /> (3v�1 � � � <br /> --- - --- <br /> - ------ -- <br /> TENANT NAME C TACi FOR PERMIT HONE � <br /> �o� w � �,� M ,3 �,�5 ,�� �1��� ��6f��y <br /> E�MAIL <br /> CONTRACTOK �SS � CITY2IP PHONE - �� <br /> ��� �r C� <br /> CO TN.LICENSE N <br /> ___—_ __'_'___.___-__'.—__--___ ______.____ _._--._._____ <br /> USE OF BUILDI4G HEAT SOURCE CONTRACT PRICE OF WORK <br /> n <br /> ��ji __Electnt _ Gas ___ Other ' QO� � <br /> ----- �---- -- <br /> WORK DESCRIPTION <br /> I NS���c, �2 Sc,�c� �d�S o� t��-�L� RZ/-1c1L _ <br /> --- - ----- -- <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> --_—_—_ ..___._ __ _ __' __ _ _. . <br /> ToiIM A/C -- air handlmn units <br /> _ D;tlhtub —'- Forced air syslnms <br /> _ _ I.avatory(wash basin) _ Gas pipin� <br /> __ Showcr v Walcn c�alcr <br /> -_ Ktichen sinY.8 dis{x�sal � ---� Gas lireplar.e <br /> -- Dishw,�shr,r _ Gas ran�c <br /> ___ Clnthes waisher _ Golhes Aryer <br /> _ Watcr ho;rier __ R:mgc hood <br /> -- Snk (y�:rnr.clbadmoplulc.) Fxh.fusl lan <br /> _ Bar.kllow preventr�r __ Hcat pump <br /> Ur�nal Unil healcr <br /> Onnkin�Founlam Boiler <br /> fbur drain Reingcraliun <br /> Grease Irap Woadstov�e <br /> Rool dnlns Olher <br /> Olhr,r —__ _-.. .. ._ __'__ <br /> ------ _ . .--- —_. . ---------�--' — � — <br /> CITV OF EVERETf LOCAL SALES TA%CODE IS 7105 <br /> I hereby cerAAy Ihai I have re:�d and ezamineU Ihis applicahon and know the same lo br.Iru�and correr,l. All provisions ol laws and <br /> nrdin�+r,r,s yo�umin� Ihiti typi�ol work will 6r,cumplir.d wdh whulher specdmd herein ur nol. fhe ynnling o(:�pimnil do�ts not presume <br /> lo yrvc authunly lo violate or canccl Ihu provision ol any othcr stalc or local law w��ulaliny construdiun ar Uu:pminnnanr.0 ol <br /> consiruclion Th�l I am aulhonted by tho owner ol Ihis prupi�rty lo pedonn Ihe work�or which<�pplica6on rs m��du�ind I comply wdh Oie <br /> Slate Contrnctors Law 1 2/-RCW� y. �d "19G.7p0 W�L <br /> �� 2/1 O� I <br /> '°^,^���� � 9 \ <br /> Siyn;dure ol OwnedConlraclur/Aulhori�ed Agenl Da�c � <br />