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(�. � �-o=� I <br /> � F �RMIT APPLICATI�,N , <br /> CITY OF EVERETT pERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —vuww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CNRDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 26�Q Gct�( ��l� S(3 5 c(c CYJ� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OVyNE[2.a b S,�•arE ���``�s ADDRESS CITY2IP PHONE <br /> JI►r� � G ��� �� 6V��q6�7A�o <br /> � tn'p,Ot'R� S t3t.GL� LL <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �� MA'rN�Sa�14c.�Tc+�1��s0 � MP��R�SMA-� ��S - 3�1� -Z�lYB <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> pa-t��` GR.-P•1°N�tcs y3Z� (.�7°vuu� ltikP�( IJ.W• S�� Zo6-�85 -S48o <br /> CONTR.LICENSE N c'g �p^1 <br /> 1 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> RG.�p�c. � C�PAR�b <br /> _Eleclric _Gas_Olher � �ebt�� p0 <br /> WORK DESCRIPTION <br /> �v�S�k & t�S't�t.c_. 2 Nor�i - i i.c.ur-� rNP-cEn S��NS aN-rb <br /> 8R{GK t=asc i/1. <br /> PLUMBING MECHANICAL <br /> NJ. TYPE OF FIXTURE OR ITEM O. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced air systems <br /> Lavalory(wash basin) Gas pipinc� <br /> Shower Water healer <br /> Kitchen sink&disposat Gas fireplace <br /> Dishwashor Gas range <br /> Cblhes washer Clpthes dryer <br /> Laundry�rey Ranc�o hood <br /> Sink(servicefbar/mop/etc.) Exhausl(an <br /> Back(low prevenler Heat pump <br /> Urinal Unit healer <br /> Drinking Feunlain Boi�er <br /> Floor drair Retrigeralion <br /> Grease lrr�p Woodslovo <br /> Roof drairs Olher <br /> Other <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS J705 <br /> I hereby ceritify Ihat I have read and examined lhis application and know the same to be true and wrrecL All provisions of laws and <br /> ordinaces goveming lhis type of work will be complied wilh whether specified herain or noL The granting of a permit does not presume <br /> to c�ive authority to violalo or cancel tho provision o(any olher slale��r local law regulating consWction or lhe performanco of <br /> construclion.Thal I am aulhorized by the owner of this property lo per(omi lhe work for which applicalion is made and I comply with lhe <br /> Stale Co traclors Law 1 W and 296.200 WAC. <br /> -;�" �-'�-- 6 � �3 " �S � <br /> Signature of OwnerlCSniract honzed Agent Date !/ <br />