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t <br /> PERMIT APPLICATION <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 /> APPLIC IONS ARE CC P D FROM 8 AM TO b PM �j — �9 `-� <br /> SITE ADDRESS PARC L TAX I.D.M � ��p��RM�T N <br /> �003 w . G�-s�NB � _1s.��.�- c;��� <br /> LEGA LOT NO. BLOCN TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �jp� 1 N(� <br /> TENANT NAME CONTACT FOR PERMIT PHONE ZS• <br /> �D�I �� L . f�.��M13OI��1 E�MAIL <br /> 'R'+H�w'�EN �Nfl�S�'rz�h� <br /> CONTR. LICENSE N <br /> USE OF BUILDING �EAT SOURCE I CONTRACT PRICE OF WORK <br /> ,��� G r�,g�� G�2a�.� Electric _Gas_Other 97 � Od0 <br /> 7 <br /> WORK DESCRIPTION 2e��6� �rE� S'7'EG�— gv� �-�iN6 <br /> Gor�sr/�uc-T P <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tollet _ A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Waterhoater <br /> Kitchen sink 8 disposal _ Gas firoplaco <br /> Dishwashor _ Gas range <br /> Clolhus washer _ Clothes dryer <br /> Wator hoa�or _ Range hood <br /> Sink(service/bar/mopletc.) _ Exhausl(an <br /> Backflow prevenler _ Heat pump <br /> Urinal _ Unit heator <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeretion <br /> Grease trap _ Woodstove <br /> Roof drains _ Olher <br /> Other — • <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS]105 <br /> I hareby coritify lhal I have read and examined this application and know Ihe same lo be true and co�ecl. All provislons of laws and � <br /> ordinaces govorning this type of work will be complied with whelher specifed herein or not.The granling of a permil does nol prasume <br /> to give aulhority to violale or cancal the provision of any other slate or tocal law regulating construction or lhe performance ol <br /> conslruction. Thal I am authorized by lhe ownor of lhis propertv to perform the work tor which applicalion is made ond I comply with Ihe <br /> Stale ntraclors Law 18. RC and 296. 00 WAC � <br /> - ���,..�. 3 '� 09 <br /> Signatura of OwnedContrectodAwnonzeA Agent �a1e I/L <br />