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�r'-�I �U � <br /> — -- � <br /> P�RMIT APPLICATION � <br /> CITY OF EVERETT PEI�MIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-waw+.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS/-� PARCEL iAX I.D.# �.'�R IT l�� <br /> ,��C'%_�� ( A-�('l.c- )1�1 � � � �'-f/C�{ �(1� � "` � �C):f ' J� <br /> LEGALf LOTN�O. �7 BLOCK TRACT <br /> DESC. �u a,� I � /� <br /> OWNER ?DDRESS CITY2IP PHONE <br /> Cl1(Ar��`� /'l (�GCQU.�QtY_ .��1G'� �,� -�1�� �1�rCT� �iS��� <br /> TENANTNAME I CONTACTFO PERIAIT PNONE <br /> Cd�Y;.� ok��� � c�l�l�e. �l�c��-rli5 �s3 �cJ�S I��_ <br /> CONTRACTOR �jnn �Ylp�Y�VY4 7�y1� ADDRESS J�70. �.., c�ti2�C� CITYZP PHUNE <br /> �.�i <br /> V � •�irl' .7i`J, <br /> CONTR.IICENSEI Cr6-�{,� ��,7�-- ��,�1.! <br /> �rNtiiX' c.r����C� -- � <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICL OF WORY. <br /> C*f-f��� Electric _Gas_Other � f,j1, C.CC_ <br /> WORKDESCRIPTION ��''� ln�I-QrICX' �Cir'�1�1CY7 IAJ�L(��j� `fj^u,,�� ��1Ct,ytCJ� 'i�jni511 YlQt.l� <br /> C�'{�CV�i�r-17���vlUSt��5/ f"'�h-�' a �.Li� .�"�� LI�cC`�rI�CC�.�.. i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTLIRE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A!G-air handling unils <br /> Bathtub Forced air systems <br /> Lavalory(wash basir�) _ Gas piping <br /> Shovrer Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Leundry tray _ Range hood <br /> Sink(service/barlmopletc.) _ Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ 8oiler <br /> Flocr drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roofdrains Olher <br /> Other <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3f05 <br /> I hemby cenlify that I have read and examined this applicalion and know the same to be We and wrrect. All provisions of laws and <br /> ordinaces goveming lhis Iype af work will be compiied with whether specifed herein ur noL The granli,ig of a pertnil does not presume <br /> to give authonty to violate or cancei lhe provision of any other stale or lowl law regulating consUudion or the pedormance of <br /> construction.That I am authorized by the owner of this property to peAortn the work for which application is made and I comply with the <br /> State nl�act i_ aw 18.27 RCW an�.200 WAC. <br /> /.�Cl� �� �iih � rn�r��vr�i r-��-3l-04, <br /> 5gp lu ofOwnedConlractotlAuthon ed g n Date �� � <br /> ���h-�x.t�Qao Ca.�t�h�'1,LCC.. ��yJ <br />