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PERMIT APPLICATION <br /> CITY OF EVEReTT PER��IIT SERVICES <br /> 3200 CEDAR STREE T, EVERET7,WA�8201 <br /> 425-257-8910- FAX 425-257-BBS" -www.everettwa.org <br /> APFLICATIOKS ARE ACCEPTED PROM B AM TO 4 PM !� �/Q -lJ� <br /> SITE ADDRESS ' PARCEL TA%1.0.M PERMIj�N ] <br /> ,�xi3 „� . (:c�5�,�0 � i���)b 4i� 3 ZBI: �� IiiUU IU (� ZJt� I i�� t� L��Y— C6�: <br /> � <br /> LEGAL, LOTNO. BLOCK TRACT <br /> DESC. `. � ic� '���_c xb Zc-,c uy C I/t_ c� Scc EYc cr+c��c <br /> � . C: t C A n' /�.J �"v 5't p F W A �E Q v-��� <br /> OWNER ADDRES9 CITY2IP PMONE <br /> �h� 6:�eir, Cv�..�,�ti..,1 Po �}' �t 's�lul Fu�:.�{-, wA /V /�1- <br /> 5 ,�,��_ fa , o� �pZ� 3 <br /> TENANT NAME �� ��(_,� � CONTACT FOR PERMIT PHONE <br /> '� uei •�y — ( :�c.ct� ys_ 3�y�6,1 � iiS S,l.arSp��. (Zo�) yul - 2_.t� Z-�' <br /> CONTRACTOR 11DDRE85 CITY2IP PHONE ` �� � <br /> �L1 c.,� 1�U���-1 J 1b��1�.�1I 771 "� Ociru �� l�....�. $W �C�G- ! � " r17�} <br /> CONTR.LICE'N,S^E��OJFS cl'�jU �'�U `'e��p `�Ni�� <br /> � z- 3 i -- Ub <br /> USE OF BUILDIN6 HEAT SOURCE CONTRACT PRICE OF WORK <br /> `` ,^��-�n^^� ` c. `-1 I U`�� '�` �Electric _Gas__Other � ��� � ��. �� <br /> WORK DESCRIPTION ( � I <br /> ti1.C�N '. 11[1<1 � Fv.��Gw'St t-C�.�S t� ���S � ��4i, i�" S.1Sf1(��i. �lCc•.#� av.n��� � /1c�� (� W�1 f ^f� <br /> ��dd [`�.ks �Ai LJJvQ/� MiJC /c�'Ci ���� inl� C-nl` Uvl�-w,yk � i�.FF,,.,ac• /�lii��.Qd . <br /> �LY�"9 . �:�c\ N �-�i�(�S 3 _..n�a��s 'S ��.Fl..cu•. � ��lf I 2 �[.11 w ��iv c.W�✓� If.yF t.���o <br /> S�rtlo.., I v<.1\ F\.�al�,�4 I Fvnu.� (�r�,�� 1 �o�! S ir1 k �^��� iw�yc i "`�r , <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet _ !UC-eir hendling unils <br /> Bathtub _ Forced eir systems <br /> _� Levatory(wash basin) Ges piping <br />. Shower � Waler healer <br /> Kitchen sink d disposal _ Ges Greplace <br /> Dishwasher Ges range <br /> Cblhes washer Clothes dryer <br /> Leundry tray Range hood <br /> � Sink (servicelbadmop�etc.) � E�hausl lan <br /> Backllow preventer � Heat pump <br /> � Urinal _ Uni�healtr <br /> Drinking Founla'.n _ Boller <br /> Floor d�ain Refrige�ation <br /> Groase trep _ Woodstove <br /> 1 Rooldrains _ Olher <br /> _3- oinPr � I� �,o. , — <br /> -- 'a�y�i��C1r��,—�„��. .�oi ,�. i — <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I hereby cerilify Ihat I have read and exemined Ihis application and know Ihe same lo be true and correcl. All provisions ol laws entl <br /> ordinaces goveming Ihis type ot work will be complied w'th whether specifed herein or noL The g�anting of e permit does not presume <br /> to give euthoiity to v�olate or cancel ihe provision ol any olher slate or local law regulaling conslruction or Ihe pedormance of <br /> construclion.Thet I em authorized hy Ihe owner ol this property to pedorm the work lor which opplicalion is made and I compty with Ihe <br /> �.Efate-ContraStors Law 18.27 RCW anA�� 200 WAC. <br /> _ ��;�:-. �� � ' - �� <br /> wnerl ontreclorlAul o nt ale <br />