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ri � <br /> I RERMIT A.P�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAi(425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE A C P � FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT q <br /> �003 w . C�s�N� �Lo �G� - �>':� <br /> LEGA1 LOT NO. BLOCK TRACT OR SUBDIVISION M <br /> �ESC. <br /> OWNER ADDRESS CITY/ZIP PNONE <br /> (�� � NG� <br /> TENANT NAME CONTACT FOR PERMIT PHONE `LS• <br /> �OL'�� t✓� (� . f}5fC'M►3o/ZSK( e.ma� <br /> 'a'}�.�arzEN iNflvs�'rzchv <br /> CONTR.LICENSE p <br /> USE OF BUILDING NEAT SOURCE CONTRACT PRICE OF WORK <br /> .��� Sro,,,�� Gp n.a<<(� _ElecMc _Gas_Othor 97 �000 <br /> WORK DESCRIPTION 2e��6i �r� STEG(� �(f( l,.l�/(�� <br /> G��/5�"hv c_7" P <br /> PLUMBING MECHANICAL <br /> N0. NPE OF FIXTURE OR ITEM NO. TYPE OF fIXTURE OR ITEM <br /> Toilct _ A/C-alr handling unils <br /> Bathtub ForceA air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Showor Waler liealer <br /> Kilchen sink 8 disposal _ Gas freplace <br /> Dishwasher Gas ronge <br /> Clothes washer Clolhes dryer <br /> Wator hoaler Rar�e hood <br /> Sink (servicelbar/mopletc J _ Exhaust(an <br /> Backllow pieventer _ Heat pump <br /> Unnal Unit healer <br /> Drinking Fount�in Boiler <br /> =I Floor drain = Relrigorafion <br /> Groaso trap Woodstove <br /> Rool drains Other _ <br /> Olhar — , <br /> CI7Y OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I hereby ceritily that I have read and ozamined Ihis applicalion and know the same to be lrue and correcl. All provisions o1 laws and <br /> ordinaces govorning Ihis lype ol work will be complied with whelher specifed herein or nol.The granting ol a permit does not presume <br /> to give authority to violate or cancel the provision of any olher stale or local law regulaling consWclion or the pedormance ol <br /> � constructirm. Thal I am aulhorized by the owner ul Uiis property lo peAorm the work for which applicalion is made and I compiy wilh the <br /> iSlate niractors Law 18.3�RC Land,296.�GO WAC. <br /> (�r�2,�e�• S o9 <br /> Signature of OwnedContractor/AuthorizeJ Agent Date �/ <br /> � <br />