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, � -- - - <br /> PtRMIT APPLICATIUN <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS � � �'�� PARCEL TAX I.D.p P MIT N <br /> �� �� - ��-��>r c -��,�A. ti'i> �D�btC� <br /> LEGAL LOTNO. BLOCN TRACT <br /> DESC. <br /> OWNER ADDRESS CITV2IP PHONE <br /> Ut � ;/U(7 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �cCiti�(� yGlkl ll�� lfl/N1G7D �1�" -7/ � / �% Z _ <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> (,r�R`/ hll ^��NJ ('o�JSiR1�c71orJ !�G /NC 5�.4�tc, I6"�� '�,l� �� �(! < -f%/l� <br /> �� ICS /�� U�,�v� Sou7l/ ��1����� <br /> CONTR. LICENSE N <br /> Cirll,�/M(C /5 C"l{✓ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ('�'� �v SN<<7ZK_ � _ � Z � 3, 5 c� �, <br /> Eleciric __Gas_Olhor <br /> WORK DESCRIPTIOf I <br /> I'i /�-'�,i 1':�r 7 /.�� !.- Cl.'l l, 'illl c (T �� <br /> PLUM8ING MECHANICAL <br /> NO. TVPE OF FI%T�1RE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilol _ A/C—air handling units <br /> Bathtub Forced air sy��tems <br /> Lavatory(wash basin) _ Gas pipinp <br /> Shower Water heater <br /> Kilchon sink& disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryor <br /> Wa�er heater _ Range hood <br /> Sink(sorvice/bar/mopielc.) _ Exhaust lan <br /> Backllow preventer _ Heat pump <br /> Urinal _ Unit healer <br /> Drinkin� Foun�ain _ �oilor <br /> Floor drain Refrigeralion <br /> Grease Irap Woodstove <br /> Rool Arains Olher _ <br /> Olher <br /> CITY OF EVERETT LOC4L SALES TAX CODE IS 7105 <br /> I heroby ceri'�ly Ih�d I have re�d and examined this applir.ation and know lhe samo to be true and correcl. All provisions ol laws and <br /> nrdinaces governinc� this type of work will be cnmplied wilh whelher specified herein or not.The granting o(a permit does nol presume <br /> Io givr, aulhority to violale or cancel Ihe provision of any other state nr local law regulating conslruclion or ihe performance o.` <br /> conslruction.Tha�I am au�horized by iho owner ol Ihis property to peKorm lhe work for which applicalion is made and I eomply with the <br /> Statc Contractors Law 1827 RCW and 296.200 N'AC. <br /> � 5. �� r <br /> n.SIC���I('�i' �' J,-iti C j <br /> SipnaWro of OwnodContraclor/Au�horized Agent Da�e `i <br /> l lL <br />