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PtRMIIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 9$201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATION5 ARE ACCEPTED FROM 8 AM TO 4 PM � ._ /(j _O� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � / �'�/,� a�e �-���- �� " lci�ve,��- �CoS,o`� �a; <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER AODRESS CITYIZIP PHONE <br /> �i.i�� �i�S���������iSSiC'n ��cir��li,j�)P /;,Q� /J��/(�ryY ��i�]�J �/�f�6�� <br /> TENANT NAME CONTAGYFOR PERMIT PHONE([�/�S� -� �S''�1S�y. <br /> ��-'6t��7 Ek,v:7 ��'0.17fiS . � E-MAIL <br /> Z.`aAf�A(.`Tb�' A OR I / <br /> CONTR.LICENSE p <br /> � ��,:���,�a <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � ' ,5 yti w�� �; _Eledric _Gds_Olher <br /> WORK DESCRIPTION - <br /> �,c x .Tl 1���,v,v. .�. 5 �.-:-r,. � c�' 1��`jo, r „�„�r_���.��- <br /> � �� l-k_ Ud v <br /> . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling unils <br /> Balhtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower N'aten c�aler <br /> � Kitchen sink&dis�wsal _ Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clolhes washer Clothes dryer <br /> Water healer � Range huod <br /> Sink(service/bar/mop/etc.) Exhausl tan <br /> Backflow preventer Heal pump <br /> Urinal Unit heater <br /> � Drinking Founlain Boiler <br /> Floor drain Re(rigeralion <br /> Greaso Irap Woodstove <br /> Roof drains Olher <br /> Olher <br /> I <br /> CITY OF EVERETT LOCAL SALES TFUC CODE IS 3105 <br /> I hereby ceritify thal I have read and examined lhis application and know the same to be true and correcl All provisions oi laws and <br /> ordinaces governing this type of work will be complied�vith whether specified herein or noL The granling of a permii does not presume <br /> to give authoriry lo vioiale or cancel Ihe provision of any ulher stale or Iocal law regulating construction or tho periormance of <br /> construction. Thal I am aWhorized by Ihe owner of Ihis properly to peAorm the work for which applicalion is made and I complp wilh�he <br /> State Conlrectors Law 18.27 RCW and 296.200 WAC. <br /> i�u li v ��uc�il�t�' a D'�-f�'-O�' <br /> SignaWre o OwnedConlractorlAulhonzed Agenl Dato <br /> 115 �,��r��'/ 1',t; Stf;�t� r3:u;ii�;ti, <br />