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PERMIT APP�LICATION <br /> CITY OF EVERET"f PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FA?:425257-8857—www.everettwa.org <br /> APPUCATIO!�5 ARE ACGEPTED FROM 8 AM TO d PM `� �I�I_Uq <br /> SITE ADORESS PARCEL TAX I.D.A PERMITJI. <br /> •� } Y� J /� <br /> .�v�o-(� Co\b� (��>L � -� ; ,.� ; ��: , �,�. ,: ci <br /> LEG LOTNO. BLOCK TRAGT . <br /> DESC. <br /> ��� ADDRESS CITYRIP PHONE <br /> , . . ' . � �� -i✓'1�Yt ��':� 1 ^`1l IL. I'�2�1'� t...� ,,�vK��'�,', � .�i 'i.'1� � <br /> .J- V <br /> TENANTNAME CONTACTFORPERMR PHONE <br /> ,�`SC��'�•q \�, I -�lV� ��YL I � -Z'c�•� L' �r..\ �. `I }��]�l �i�''� -r��` 1 '1 <br /> CONTRACTOH 1 ADDRESS CITYIZIP PHONE <br /> ;�•�� A""��� ��iC�n, t ���_, C�`L,t_(' � k�a �,�,-.,� ��IZ'�il ��1vb':� 1��'� G,i,.,-1 � `I)-'�� j��l� -j[.,ci <br /> CONiRLICENSEI{ `�.% 1{'� ��?C'(, ��'t '.-15 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF YYDRK <br /> , :J�V`+��v'C1?.� _Electric _6aa_Othor ����il-� <br /> WORK DESCRIPiION-,�,� ' . ' - . <br /> :� ,��` i. 1 j 'r\(�...� ,�\� �\",.'� ��'t ..�i�ll. ��.. r,.• .. ���:.1� 121 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FUCIURE OR REM NO. TYPE OF FlXTURE OR ITE1A <br /> Tdlel _ AIC-airhantllingunits <br /> Bathlub ___ Forced air systems <br /> Lavatory(wash basin) -- �S pW^9 <br /> Shower __ Walar healer <br /> lGlchen sink 8 disposal __ Gas fimplace <br /> Dishwasher _ Gas rdnge <br /> Ciothes washer __ Golhes tlryer <br /> Laundry Uay -- Range hood <br /> Sink(servicelbartrtqplelc.) __ F�cheusl fan <br /> BackFlowpreventer __ Heatpump <br /> — Unnal Unit heater <br /> Drinidng Fountein �'��' <br /> Floor drain � Refigeration <br /> Grease Irap _ Woodslove <br /> Roof drains �� <br /> — Olher — <br /> CITY OF EVERETT I.00AL SAl.ES TA%CODE IS 3105 <br /> I here6y ceritity thal I have read and examined lhis a{.piication antl know lhe same to bo Vue and corteG. All provisions of laws and <br /> ordinaces goveming lhis lype o(wak will be canplied wilh wMHher spodfied herein or ral.The granGng of a pertnit does not presumo <br /> lo give aulhority to violale a canCel lhe provision of any otlier state or local�aw regu�ating consWction or the performance of <br /> construction.That I am authorized by the owner of this pmperty lo perfortn 1he worx ta which appti�tion is made and I camply with tl�e <br /> Stata Contraclors Law 18-1]RCW and 296.200 WAC. / <br /> ,`� `,:\ � ' \ .f/�p�lC� <br /> Signawre o�Ownerrcontr�-a Auuwnzed Agent r al�e — ��� <br />