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, { <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVECES <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-8810--FAX 425-257-8857—vnvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �j �i8-� 7 <br /> SITE ADDRESS�I �'��'�Y ' � PARCEL TAX I.D.# P RMIT K <br /> t�� =`Cc , Wft `��i��i cxa43�11,���`I�'o ,� Z��S 4� 7 <br /> LEGAL LOTNO�.7 OLOCK THA T <br /> DESC. I� � L;, �ob� b-Oo " �11={�L T T �t.�r <br /> OWNER ADDRESS CITY2IP PHONE <br /> j'��� [�.�c� µt��'��r� t� �X 13��,-�� ���C�I:TT �Zcla 42r-,' 3►�- 4�i34 <br /> TENANT NAME i .+ � CONTACT FOR PERMIT PHONE <br /> •�1�`-'C� l,�c. ��� 7,1�1� •k��=c�C' t�c�, � A(��� • zr�z-2t��3 <br /> CONTRACTOR �� � AD�RESS ���p, �n'Z� � �PH�� <br /> CONTR.UCENSE ll a I� �/�t ` J ��� �,/>�� <br /> V li0l'� !f1 a <br /> USE OF BUILDING e HEAT SOURCE CONTRACT PRICE OF WORK <br /> l�i� - �L�i����= ``'����j��� _Eledric xGas_Olher �1����� ,U�) <br /> WORKDESCRIPiION �l`wl`T �µ��`�����1� � ��=�1:.II�iIT ���1' pl= �J`��T <br /> �•.1�1.� `�1: I.� G �-. �., t <br /> �f�l,pli�b� �'1�'Jty�' sl�� - 4��10�� �'�� . <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FUCTURE OR ITEM17 N0. TYPE OF FIXNRE OR ITEM <br /> Toilel NC—air handling unils <br /> + Daihlub Forcedairsystems <br /> � Lavatory(wash basin) � Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas(repiace <br /> . Dishwashe� ,� Gasrange <br /> �Clothes washer _�Ciolhes dryer � <br /> _ Lcundry tray _ Ranc�e hood <br /> __ Sink,(sen�ce/badmopletc.) [xhaustfan <br /> 6ackllow preventer Heal�ump <br /> Urinal �'. Unit hcater <br /> Drinking Fountain 6oiler - <br /> Floordrain Refrigeration <br /> Grcasc trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAI SALES TAX CODG IS 3105 <br /> I hereby ceritify that I have read and examined this application and know Oie same to be true and correct. All provisions of laws and <br /> ordinaces governing Uiis type of work will be complied with whMher spedfied herein or nol.The granling of a pertnit does not presume <br /> to yive authority to violate or cancel the provislon ot any oUier stale or local law regulaling construction or the perfortnance ol <br /> conslrudion.Tha[I em authonzed by the owner of this property to periortn lhe work for w�hich applicaUon is rnade and I comply with the <br /> Slate Co lc�dors Law 18.27 RCW and 296.200 WAC. <br /> �<� �A�14` '1•- �� <br /> Signatu o wn` nh�aclo}%Au iro�ni Agent ��al� I <br /> �v <br />