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� I�ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERcTT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM _ <br /> �— <br /> PERMIT ll <br /> S—� PARCEL TAJ(I.D.# I ��,�c�C �. _ <br /> SITE ADDRESS � , C <br /> .j���,3 (�„�, �/ic�i,10 <br /> LEGAL LOT NO. BLOCK TP.ACT <br /> DESC. — <br /> ADORESS CITYIZIP PMONE <br /> OWNER <br /> �r3oE: ,�c. -- <br /> CONTACT FOR PERMIT PHONE <br /> TENANTNAME �✓ <br /> (��oE.i ^ir. L�o��Pn-D �f�r'r� ix��-Ski U2d� �P7l. -ZS7S� <br /> CONTRACTOR <br /> ADDRESS CITV2IP PHONE <br /> CONTR.LICENSE N _ <br /> USE OF BUILDING /� <br /> I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Elrctric __Gas_Olhor ��, �1�� `' (� C) <br /> �i��N r /-� A r//- a/� _ ——-- '�-�--- <br /> WORK DESCRiPTION <br /> � � � i �. <br /> U F'G,.,,A- L'[c. <br /> - PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURC OR IT[M <br /> N0. TVPE OF FI%TURE OR ITEM <br /> — NC-air handlinc�uni�s <br /> Toilel Forced air systems <br /> �athtub Gas piping <br /> -- Lavalory(wash basin) — Waler healer <br /> Showcr Gas fireplaco <br /> Kitchen sink 8 disposal Gas range <br /> Dishvrashcr Clothes dryer <br /> Clolhes v.asher — Range hood <br /> Walr.r healer Exhaust tan <br /> Sink(servicelbnrlmupletc J Heat pump <br /> Backllow prevenlcr Unit hoator <br /> Urinal Boiler <br /> Drinkin� PouNain — Rnlrigeration <br /> Floor drain Woodslove <br /> Grease trap � Other — <br /> F.00l drains — <br /> Olher _- — <br /> CI7 Y OF EVERETT LOCAL SALES TAX CUDE IS 3705 <br /> I her�by cer�li(y Ihat I have road and examined this application and know Ih,�;ame lo be truo and correcl All provisions of laws ana <br /> Iordinaces yoverning Ihis typo ol work will be complied wilh whelher spocmed herein or not.The granling o(a permit do�s nol presume <br /> Ito give aulhority lo violale or cancel U�e provision of any other statr or I�cal law regulating conslruction or the pedormance o( <br /> conslrucl�on. That I am au�horized by O�e owner of Ihis propehy to pert rm lhe work for which applicaLon is made and I comply wilh ihe <br /> I Slale Conlraclors Law 1 1 CW and 296200 WAC. � <br /> � � [� yo <br /> ��I.�t-r�.� /�' p.�„`�'�� <br /> Dalr i <br /> iynaWre of OwnerlContradorlAuthon•ed Agenl L <br /> � - - ------- <br /> i . ... _. .__ . .. . . _ . . - - ---- <br />