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� - J -� � <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI�E.'eDDRESS PARCEL TAX I.D.# PERMiT# <br /> a��,a-t �o �F�e�� ' O6 '-I�t�l L:�301 c;<� So�'.�G -Oo3 � <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> , a<taZ Co�e� A��.��.,c. 4��w.t4 <br /> L�'�2v14S �. MAC?.�\z�. S�rV:. 1v(� t�� �ani <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �.�w2.� �o,.�s I �a,.�,. Ca�l C�i3s� 3k - s�yu <br /> CONTRACTOR ADDRESS CI7Y21P PHONE <br /> Apc\,o �U4.o��,'Sv�C� �I�OC� {�zYkx�i�x�lze�.,Sv��4 aob, !Y��'{.l-�Eo �5�5�3`14• S��t�l <br /> CONTR.UCENSE# � <br /> A�O l�t. N�-O�y Oc� <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> i <br /> L`(�N'�V1'�4.�fC�2.l Electric Gas Oth�r -� ��(•(,,�.� �� i <br /> i <br /> WORK DESCRIPTION I <br /> SrS�ta�� 0� v�ov. 11�u�ti..,,.r14J� �4.`\frSt'C cv� stvr^�`�r�„�•F I <br /> PLUMBING MECHANICAL I <br /> NO. TYpE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> _ Toilet A%C–air handling units �i <br /> __ 6alhtub Forced av systems j <br /> _ Lavalury(wash basin) Gas pipin� <br /> Shower Water healer <br /> _ Kitchen sink 8 dispo,:,t Gas I�rep;ace <br /> ___ Dishwasher Gas range � <br /> _ Clolhes washm Clothes dryer <br /> _ Laundry iray Range hood <br /> Sink(scrviccibarlmop/ctc.) Exhausl(an <br /> Backflow prevenlcr Healpump <br /> Urinal Unit healer <br /> � Drinking Founlain Boller <br /> _ Floordrain Refngeralion <br /> Grease trap Woodstove <br /> Rool drains O�her <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilily Ihat I have read and exainined Ihis applicahon anJ kno�v Ihe same�o t�e Irue and correct Ail prov�sions ol laws end <br /> ordinaces goveming lhis type ol work will be complied with whelher spealied herein or noL The yranting ol a permA does not presume <br /> lo give aulhorily lo violate or cancel lhe provision o(any other state or local law regulaling conslruction or Ihe peAormance of � <br /> construction.Thet I am authorized by the owner of this property to pertorm the work for which applicalion is made and I comply wnh the � <br /> Slale Contractors Law 7827 RCW and 206200 WAC, <br /> '��.nM l°.¢�,,Q `l-b' �b <br /> Sgneture of Owne�IContracmr/Aulhonze0 Agent Dale � <br /> � . <br /> ------__ / �1i <br />