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� FcRMIT APF'LICATIuN <br /> � CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> IAPPUCATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> ISITE ADDRESS '%� �=�S PARCEL TAX I.D.p PERMIT p <br /> I � <br /> , � lri ', � � .•IS/A�,�� n'%� . � U - � <br /> LEGAL LOT N0. BLOCK iRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER AOORESS CITY/ZIP PHONE <br /> �t� ��` ��� <br /> TENANT NAME CONTACT FOR PERMIT PHONE .J�'7- 4� /��7�/Z <br /> � ��� r�'(� yUkl ll���//l/� 0/U e-rna� yiuk�,hrshimaNe� hr,��r,r�„ <br /> A / �AOAE-- <br /> (�R�'Y fkK'UuJ fon�>R'U(IIJN (�OPIPAN� /� x .� t1L c �. .� �'i G - -�/P Z - �l/1}" <br /> �)riS �r.�u ,1o � ioup� . <br /> CONTR.LICENSE N ���/i:� <br /> !NII �I�I PC l�„��� ��; <br /> USE OF SUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ( F't �'v _,ll(.� lJ�C Eledric Gas Olhcr '1,�'.�.j; `�c�`, <br /> WORK DESCRIPTION <br /> �'i f.'�7l'1,�� 7 �l;�l IC CI:CI'V 7ilL: 1/ K <br /> PLUMBING MECHANICAL <br />� NO. TVPE OF FIKTURE OR ITEM - — NO. TVPE OF FI%TURE OR ITEM _ <br /> Toilcl _ A/C-air handling unils <br /> Balhtub Forced air syslems <br /> Lavatory (wash basin) Gas piping <br /> Showr,r Water heater <br /> _ Kitchen sink&disposal Gas lireplacc <br /> Dishwasher Gas rango <br /> Clulhr,s washer Clolhes dryor <br /> Waten c�a�er Ran�e hood <br /> Sink(servicelbar/mop/elc.) Exhaust fan <br /> �ackflow prevenler Hoat pump <br /> Urinal Unil heater <br /> Dnnking Founl;,�n Boiler <br /> Floor drain Re�riyeration <br /> Grease trap Woodstove <br /> Roo1 drains Othar <br /> Other <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 710! <br /> I hereby ceritily thal I have read and esamined�his applicalion and know the same tu be Irue and correct. All provisions of laws and <br /> ordinaccs c�ovr.rning this lype ol work will be complied wilh whether specilied herein or nol lhe granling of a permit does nol presume <br /> lo give autl�ority lo violate or canr,el lhe provisien ol any olher state or local law regulalinc�construclion or lhe peAormance of <br /> conslruclion, That I am autharized by tho owner of Ihis propeAy lo perlorm the work lor which application Is made and I comply wilh iho <br /> Slate Coniractors Law 1827 RCW and 2JC>200 YJAC. <br /> ( / <br /> J� , i��i., i��//�t�IC � -�.-IN C�J <br /> Sign�Wre ul Ownr.rlCrin�ractoCAulhorizr,d Agenl Date ��� <br />