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.. ( <br /> PtRMIT APPLICATION � <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 6 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.A � �RMIT N <br />, ��� ��3 �I� �ut � �' 'i/ '�-� - �'�'�::' � ,� "�-'%-� � � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> 1� I;�� I �MM�� �8 � S.,.tS L.���. d .* frMp,o i.51u,J yZ5-3/Y-2 �ry <br /> TENANTNAME I CONTACT PERMIT PNONE <br /> (`ad�roJw2kk•�.cc <br /> �� �`,���� E�MAIL <br /> �T t R � � <br /> CONTR.LICENSE It <br /> USE OF BUILDING HEAT SCURCE CONTRACT PRICE OF WORK <br /> C �,..,r.�;�l Sp. �,� vn oa�p�r� <br /> _Electric _Gas_Other �I � D ov <br /> � <br /> �70RH:DESCRIPTION /� /� <br /> nL�J �G�Nf�OMS Cn �/� .'� . � .� /l�'/'�4 `, I V� I l�( � <br /> /V�n. IOOf� !`E •�f�n (�GMe� <br /> . . � ,� <br /> PLUMBING . • •. . • ME6HANICAL <br /> ,t ' <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel ' ' � '_ A/C—air hand:ing units , <br /> Bathlub Forced air syslems <br /> _2 Lavatory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kitchen sink&disposal Gas freplace <br /> �.Dishwashcr Gas r e <br /> _ ClOthes washer Clolhes er <br /> Walcr tiestsf Ran�o hooa�•, <br /> Sink(service/b'arlroop/elc.) Exhaust fan �� <br /> f3ackflow prevenler � Heat pump <br /> �� Urinal _ Unil hcalcr <br /> Drinking Founlain 8oiler <br /> Floor drain Refrigeralion <br /> Grease Irap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify thal I have read and examined lhis application and know Ihe same to be We and correcL All provisions of laws and <br /> ordinaces governin�this lype of work will be complied wiih whelher specified herein or noL The granting o(a permit duos nol presume <br /> to give aulhority to violate or cancel lho provision ol any other state or local law regulalinq wnstruction or the performance of <br /> conslruction.Thal I am authodzed'oy lhe owner of this property to perfonn lhe work for which application is made and I comply with the <br /> Slale Conlr�c'�ors La�v 18.2�RCW apd 296.200 WAC. i <br /> �� ai� � �1Y�0'�-- <br /> Si�natUre of OwnedContracl /Aulhonzed Agent Dale (/� <br />