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7–U <br /> P�RMIT APPLICATIG�rI <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 8 AM TO 4 PM -JEBIT& CREDIT CARUS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PF�RMIT# <br /> � C,�I�� �r�� 1 v�. �o6u�l9 -G�>� o�2- u� lS �`��� .� �� <br /> LEGA LOTNO. BLOCK TRACT /� �y'� <br /> DESC. �� [a � �I�L'/, �.�/ <br /> OWNER ADDRESS CITY2IP PHONE <br /> r�(�-o��4� I �'-c� I ��,-F�ci:� Z 9t o C'alGy �Cv,c,.c� 90zo� lg'� y>s�f <br /> TENANT NAME CONTACT FOR PERMIi PHONE <br /> I -��.fi.�;,,y l�� I Joe� 7•!�,-r I�4zS� 3�l�• �c�o6 <br /> CONTRACTOR A�DRESS CITY2IP PHONE <br /> �ir�..� ('lt�..N d�S f�?'"3 Y�u��t� �v� 4 u. �1�i�7c� �Sz1• 5szq <br /> CONTR.LICENSEp /��„�� `�I.7� �I�IO� <br /> �� �...G� <br /> U�JSE�OLF BUILDING I — HEA OURCE CONTRACT PRICE OF WORK <br /> "�`����`"""� 1 Electric X Gas_Olher �`� � ����'� <br /> WORK DESCRIPTION - <br /> �'(.r-ryip4� �Cw,�,CJ f'¢G�h�; �C ,'NC�-� ��i"fi+-!1'1i �tcX,-y .{p'✓ ,Q(af�N� <br /> (/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilel AIC–air handling units <br /> Bathlub Forced air systems <br /> Lavatory�wash basin) _ Gas pipinc� <br /> Shower Water healer <br /> Kilchen sink&disposal _ Gas lireplace <br /> Dishwasher Gasrango <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mopletcJ Exhaust fan <br /> BackOow preventer _ Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ 4Voodslovo <br /> Roof drains Olher <br /> Olher <br /> CITY UF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I `�creby ceriti(y that I havo read and examined thie application and know lhe same ro be We and correcL All provisions ot laws and <br /> ��dinaces yoveming lhis lype o(work will be complied wilii whether specified herein or not.The granling of a permit does not presume <br /> to�ive aulhority to violale or cancel lhe provision of any other state or local law regulatiny consWction or lhe pertormance ot <br /> cunstruclion.That I am aulhorized by lhe owner of lhis properly to perfonn the work for which application is made and i comply with lhe <br /> Slale Contractors Law 18.27 RCW and 296.200 WAC. <br /> .,�.� — ��• 20•oS -�. <br /> Signatura of wnedC ntractodAuthorized Agenl Date <br /> ��2� <br />