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PtRMIT APF'LICATION <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 ± PM <br /> SITE ADDRESS PARCFL TA7C I.D. p PERMIT# <br /> . . 1 —�.d'iL" �1� � -----��/ / I <br /> LEGAL LOT N0. BLOCK [T�R�ACT <br /> DESC. . I �l.� �FI71i'Irt/(I <br /> OWNER A�DRE55 � CITYIZIP PHONE <br /> �.���5� -�� �o� , �ven�sZi,� mIG�5�3-����L�—i:��c <br /> TENANT NAME CONTACT FOR PERMIT 10NE <br /> �Je L��nc� D(�te{ vv�cwlb.�Q- lolt - '1(r t- 3•7�b b <br /> CONTRACTORp��,wn C'�.��yuC�t�n �CD•�I1��L� ADORESS CITY121P PHONE <br /> y 8i�� �w� I�v'c .�,; � �.+� �°�3�06 aot���,4a-3��oa <br /> CONTR.LICENSE p <br /> I�N1'Moc ���a ----- _��0� <br /> USE OF BUILDING HEAT SOUItCE CONTRACT PRICE OF WORK <br /> ����GV l?AA�,uG1�/ n`G��� �Fler,inc _Gas__OUier � S��rj�•�Q I <br /> WORK DESCRIPTION � ��y_�� �/�r�, �'�W ����. 1�1`�Q;fi�1 . <br /> � /���y�-� I <br /> � <br /> PLUMBING MECHAN�CAL <br /> NO. TVPE UF FIXTURE OR ITEM NO. iYPE OF FIXTURE OR ITEM <br /> Toilel A/C —air handling unils <br /> Bathlub Forced au systems I <br /> Lavatory(wash 6asin) Gas piping � <br /> Shower Waler heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Laundry tray _.�, Ranc�e hood <br /> Sink (service/badmop/etc) � '�_ Exhaust lan <br /> Oackllow preventer Heat pump , <br /> _ Unnal � Unit heater i <br /> Drinking Fountain _ Boiler <br /> Floor drain Refngeration I <br /> Grease Irap Woodstove ! <br /> �_ RoolAra�ns _ Other I <br /> Olher _ ---- <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS �705 I <br /> I hereby ceriU(y Ihat I have read and examined this application and know Ihe same to be lrue and cortect All provisions of laws and i <br /> ordinaces govemin�ihis lype ol work will be complied wilh whether specifed hrrein or nol The graNing ol a permit does nol presume <br /> lo give authordy lo violale or cancel�he prov'sion of any other slale or local law regulahng construclion or Ihe performance ol � <br /> consiruction That I am aidhonzed by the ow�ier of this pro��erty lo perlorm the work lor which application is made and I comply wdh the I <br /> Slate Contractors Law 1 27 RCW and 296 200 WAC � <br /> � ��— lo i-► � <br /> �L—- <br /> Signa�ure ol 0 me . ;ontr .toi/Aidhonzed�gen� --- ate 1/L �, <br />