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P��tMIT APPLICATIC�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> ( 425-257-8810—FAX 425-257-8857—www.everetlwa.org <br /> 2 --�3 —ob� <br /> APPLICATIONS ARF ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS ` �� � I PARCEL TAl(I.D.N PERMIT <br /> - � (� ���(;�� � �< 1 ��� � ��'i'� i� �� i � j; r ; r � !'� )�l 6� � � <br /> LEGA L07N0. BLOCK TRACT <br /> DESC. <br /> OW ER ADOR SS CITY2IP PMONE <br /> i�d ��l ���;� ,�',�Y;� l:l'- ���t (��1(� �� �1��� 1� �' �-1 ., �-► l� <br /> TENANT NAME COI�TACT FOR PERMIT PHONE <br /> t�"� i nC� � '�C�".-�� �� ��. i�C {' rS� Zoli: '--� �� ���7U�� <br /> CON7RACTOR �y� t-(\,;_,(�'�r�-', Cl`- ADDRESS `1-�_I JI� qTY21P PHONE <br /> � 1 rC �.'- ��I}-� �t,N� �1���L <br /> CONTR.UCENSEM :�i I] 1�-�ll� �_ 1 —(i����j � Z� J I�J �.,�� <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �( ( 1��\� � � ��I ( Elecfric Gas Other ���, 1��L1 � -- <br /> � <br /> WORK DE9CRIPTION . ' <br /> �ri>1�t�i � f���v C�m��(�k'�� �� r 7��1 �1(� _� �� t �►C�1�', <br /> � ' -+ I"���. Px, � ��,� � r���, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF PII(TURE OR ITEM <br /> Toilel AIC—air handling units <br /> Balhlub Forced aIr systems <br /> lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry lray Range hood <br /> Sink(servicelbadmapletc.) Ezliauat fan <br /> Backflow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> _ Greaso lrap Woods ve I <br /> Roof drains 0 r � '� � '^` `�" <br /> Olher � <br /> CITY OF EVERETT LOCAL SALES 7AX COUE IS 7705 <br /> I hereby ceritity that I have read and examinod this applicatlan and know lhe seme to be We and correct. All provlsions of lews and <br /> ordinaces governing lhis type o(wark will be wmplied with whelher specifled hereln or not.The granUng of a pertnit does nol presume <br /> lo give euthorily lo violate or cancel Ihe provision of any ather stale or local law regulaUng conslructlon or the peAormance of <br /> � -Wclion.That I am au rized by the owner of lhis propeAy lo perform the work for whfch applicatlon Is made and I comply wilh the <br /> ,Conl actOrs Law 18.27 CW a�d�6.20D�NAC. ��� <br />� (�'� �' � � � � " > � <br /> gneture o wnerl antractor hotRe Agenl a <br />