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_ <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org �, f �-�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT <br /> �. ' / <br /> � �� vrr�/t'e c✓« �/ � � � � . <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER /1 �l . /�'� ADDRESS CITYIZIP PHONE <br /> l�✓ <br /> TENANT NAME � CONTACT FOR PERMIT PHONE zOG �O9 y�`s <br /> � ,� � �J — � <br /> �`�`��/Yl' �`-' � �� E•MAIL <br /> G,�NGJ�TS�Ro.fc ,4/J��C GC C ��Jj�% �/vv J G'� �CY2'�F G�`j'L�9 7 7�� <br /> CONTR.LICENSE# ����� <br /> /�/�STS�/,�c/�� �a� 7��' <br /> USE OF BUILDING ' HEAT SOURCE NTRACT PRICE OF WORK <br /> j � GU <br /> ��, �� �Eleclric _Gas_Ofher ,� O� <br /> WORK DESCRIP 10 �/ <br /> i s �,��/I�C�� /a' c <a.��f'Jv,��O�nJ/� �d1.�' <br /> �s��' �r� ���� sy��-� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM O. TYPE OF FIXTURE OR ITEM ' <br /> Toilet A/C—air handling uni�s <br /> Bathlub Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> I:itchen�:;ik&dispesal Gas fireplace <br /> Dish�^:ssher Gas range <br /> Clolhes washer Clothes dryer <br /> Waler healer Range hood <br /> Sink(service/bar/mop/etc.j Exhausl fan <br /> _ Backflow preventer � Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerility thal I have read and examined this application and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whether speci(ied herein or noL The granting of a permit does not presume <br /> lo give authority to violale or cancel ihe provision of any other state or local law rec�ulating conslruction or the performance of <br /> conslruction.That I am aulhorized by lhe owner of fhis property to pertorm lhe work for which 2pplication is made and I comply wilh the <br /> Stale Conlr�ctor 18.27jRCW d 29u".200 WAC. <br /> // /� /el'//// . <br /> S gnalur��l�aclor/ thorized Agenl Dale <br /> �� yz <br />