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P�r�MIT APPLICATI�.� <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 /> � -� �.07 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRE33 PARCEL TAX I.D.M PERMIT N <br /> � ,, • ��n , �IU -U I Z`'�.�1.11C��U� UU ZIJ� 03 -0 <br /> LEG LOTNO. BLOCK TRACT <br /> DESr. <br /> OW ER ADDR 8 CITY2IP PHONE <br /> _ � rt 1�t ���C'�\ (� �>> LU �`(�� rY'�� �-I(1 —{--� ( <br /> TENANT NAME CON"ACT FOR PERMIT PH�E ^ <br /> ' � ,C;��--1 G��' I ' �1� - 3U1� OU�I <br /> �x�e 1'CIC.� ����✓ ���1�Q 1� <br /> CONiRACTOR ADDRESS ITV21P PHONE <br /> t\�r �'Y�'nS(,il� �ZZ1 2�'� �__v� N �1�1� I �(;19 �`J�J( -- <br /> CONTR.UCENBE� �}E Q���CI�/�j!Rj �`-�� —`�V�� `, ��L'V <br /> . ` <br /> USE OF BUILDING I HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> \1Y\l�t�����1 _ElecWc _Gea_Other I�L��C�C� � <br /> WORK DESCRIPTION . • <br /> ,��I�u �ee�- ,5� C'ocncx�S�eC1 a�r j�� �� (�G� <br /> ( <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM NO. TYVE OF FIX7URE OR IIEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> _ Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas flreplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Laundry lray _ Range hood <br /> Sink(servicelbarlmop/elc.) _ Exheuat fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heatar <br /> _ Drinking Founlain Boller <br /> Floor drain Refrigeratlon <br /> Greaso lrap _ Woodstove <br /> Roo(drains Olher <br /> = o�ha� - ���n � pi nC, <br /> CITV OF EVERETT LOCAL 9AI.ES TAX CODE IS 7106 <br /> I hereby corilify Ihat I have road and examined this applicatlon and know lhe same to be lrue end cartect. All provlslona ot lawa end <br /> ordinaces governing Ihls lype ol work will be wmplied wilh whether specNled hereln or nol.The granUng of a permil doea not presume <br /> lo givo aulhority to violato or cancel lhe provision of any olher stale or local law regulaling wnstrucUon or lhe performance af <br /> - etruction.That I am aulhorized y Ihe owner of this property lo perform ihe work for which applicatlon Is made end I comply wilh the <br /> e Con{ractprs Law 18.27 R nd 296200 W�• <br /> `�l )I CI_ �1 L i;.:� =' c � <br /> gnaWre o ner ontraclor ul o e�genl �� a� <br />