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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, GVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� - '� � _ (� (L <br /> SITE ADDR[SS ` n I PARCEL TAX I.D.# PERMIT p — <br /> Gl� (1�1� C� I N O 12-J L 1�U U"�� -i `1 " <br /> L[GAL LOTNO. 6LOCK TRACT <br /> OESC. <br /> OWNER DORESS CITYIZIP PNONE <br /> 6�vF � �i� <br /> TENANT NAME � C TACT FOR PERMIT PHONE ,/ <br /> �OE I I�H _ I �$��''`'� �D/1SK1 �2� ��Jlir9Y" <br /> CONiR TOR ADDRESS CITY2IP PHONE <br /> �E► ►��� <br /> CONTR.LICENSE p <br /> USC- OF OUILDING � HEAT SOURCt' CONTRACT PRICE OF WORK � <br /> n n �E-T-��� � -----._....---- —Eloclri� �Gas_ Othcr �-- <br /> �..rT �L� <br /> 1�/ORK DESCRIPT�ON <br /> /�Ef'LI�E �/`�P"!�%12 1f�T►2 � <br /> PLUMBING MECHANICAL <br /> NO. TYF�[OF FIXTURC OR ITEM NO. TYPE OF FI%TURE OR ITEM17 <br />, Toilet _ A/C—�ir handling units <br /> Dalhtu6 Forcad nir systems <br /> Lavatory(wash basin) G.s pipinc� <br /> Showcr �� Water heater <br /> Kilchon slnk d dis{wsal G�s Oreplace <br /> Dishwashcr Gasrange <br /> Clolhas washr,r ! Clothes dryer <br /> Wnton c�ater � Range hood <br /> Sink(se��icelbadmop/eic J F zhausl(an <br /> �ackflow preventer Hcal pump <br /> Urinal Uni!healer <br /> Drinking Founlaln Boilr�r <br /> Floor drain Refric�erallon <br /> Greasc lrap Woodstave <br /> J Roof drains Othor <br /> + Othor <br /> CITY OF EVERETT IOCAL SALES TAX CODG 15 7105 <br /> I hereby ceritify thal I have road and examined this applicalion and know tha samo to be true and correcl. All provisions ol laws and <br /> ordinaces qoveminy Ihis type o(work will �e complied wilh wholhor specifled herein or nol Tha granting of�permit doos not presume <br />, tu y�ive aulhority to viulaie ur cnncol the prov sion of any othor stato or locel law�egutatinp construction or lhe perlormance ot <br /> conslruclion. That I am ainhoriTed by Oio owner of this property to perform lhe w�rk fnr which applicalion Is m,io and I comply with tho <br /> Slat Conlrar,tors l nw t 0.?J�RC�/�'00 WAC. �l/n . /O <br /> ( L� � <br /> Sic�nature of Ownor/ onlractor/Aut iorize ganl a� <br />