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z - -- <br /> PcRMIT APPLICATIt,N <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 4 PM ��j�Z �7 <br /> SITE ADDRESS PARCEL TAX I.D.A I PEjjMIT# <br /> •z-d-1 b r-v�P�Y ��'L , d o�4-3 I b b�1an'�a 1 ��' _ <br /> IEGAL LOTNO. BLOCK TRACT <br /> DE£^ � <br /> OWNER ADDRESS CITYlZIP PHONE <br /> �`���u=TT S�ffab1, la'sl�-T �� '�'7�r coc.P y av� �va� 9�Zo3 <br /> TENANT NAME CONTACT FOR PERMIT ('-F�1' � Dp(/ty��NE <br /> .��UL-1zL-T(" C1/+�i �/���r.r�c�N Al�r�t'i'�z-T'� �_�2-z153 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> � �'• �. <br /> CONTR.LICENSE# <br /> USE OF BUILDIIJG HEAT�OURCE CONTRACT PRICE OF WORK <br /> � n � <br /> �bN(�'�j 0�.�,/�(�. _Eleclric�Gas_Other � <br /> WORKDESCRiPTION vC>(.f��I�(`��L L{X�- , <br /> ���.�i:N L-TbT -- }�pA r� Ct'bI I�T ' .ErM � '�1l l`.� ��) �'F�ic.�. <br /> ��r� ��2. --�l:�tn CXIS-(; �-JrcN'L-T[ /�fz�)� ����+tcc�cr� 7'o MM=.� CZ) <br /> PL M � MECHANICAL <br /> NO. TYPE OF FIXTUR[OR ITEM NO. TYPE OF F�XTURE OR ITEM <br /> Toilel NC-air handling unils <br /> Bathtub Forced air syslems <br /> Lavalory(�a�ash basin) _ Gas piping <br /> Shower Waler healer <br /> Kilchen sink 8 disposal Gas tireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryer <br /> � Waler healer Range hood <br /> Sink(service/bar/mop'etc.) _ Exhausl fan <br /> Backflow prever.ler _ Heat pump <br /> Urinal Unit heater <br /> Drinkinc� Founlain _ Bailer <br /> Floor drain Refrigeralion <br /> Grease lrap Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby centify that I have read and examined this applicalion and know the same to bo true and cortecL Aq provisions of laws and <br /> ordinaces goveming lhis rypo of work will be complied wilh whelh�r specified hereln or not.The granting of a permit does not presume <br /> to pive auihonry to violato or cancel lh�provi ' ot any other state or local law regulating construction or the pedormance of <br /> constr�ction.Th I am aulhorized the o ner (this property lo per(orm the�vorh for which application is mad�and I comply with Ihe <br /> State Contrac, s Law 18. C 2 .200 AC. <br /> � � , �7 . �� <br /> Sign re wnedCon rac[o/Aulhonzed Agent —rDate <br /> 7Z <br />