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� 1 ( <br /> \ <br /> PERMIT APPI_iCA°TI�'.1N <br /> � CITY OF EVERET�' REF:MlT S�R�'ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��`�_�D <br /> 425-257-8810—FAX 425-25?-3857—www.everettwa.org <br /> 3S� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM x �D lD ' O <br /> SITE ADDRESS � PARCEL TAX I.D.# � <br /> r �Uer (�en! I ooyloz.�oaoolofl alo - olY <br /> LEGAL LOT NO. BLUCK - TRACT <br /> DESC. <br /> OWNER AD'JRESS CIN21P PHONE <br /> 1 <br /> 1,YAOoT �Are;Q�r rnsso�;,�;�.s LSo o�cAs si.s� 2�o S,eA�171e 98�08 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �ce µhr.� w�r� TM Bo,,� �y✓ 206-2>6-996I <br /> CONTRACTOROCLIANCG t�P6 Pro ier,� ADDRESS CIN21P PHONE <br /> F Po 8 X H2S 19�5iv�✓9�0Sv <br /> 0 / <br /> CONTR.LICENSE# 2� [�j �FO�0 Z� I Z O6'�P2'V�36 <br /> �- v <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OP WORK <br /> —r �L _Electric _Gas,Other 3+ ��O <br /> WORKDESCRIPTION A/�,�' RcIO�A�� E AQ+��vL Srr?��)w'Ne.�fdS �B/� �r�vnNT lAt1°PB✓*�'�+� <br /> lW T !< <br /> P�� ��A�s. a3 �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTl1RE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shnwer Water heater <br /> _ Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> BackOow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigerotion <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 <br /> 1 hzreby ceritify that I hav��read and examined this application and know lhe same lo be true and correct. All provisions of laws and <br /> ordinaces goveming thi�lype of work will be complied with whether specified herein or not.The granting of a pertnit does nol presume <br /> to give aulhority lo viulale or cancel lhe provision of any other state or local Iaw regulating construction or the perfortnance of <br /> constru tion.That I:3m authorized by the owner of lhis propeAy lo perform lhe woric for which application is made and I comply with the <br /> State ont act •Law 18.27 RCW and 296.200 WAC. <br /> � ��� / 9�/�o � <br /> Si n re of Owner/Contraclor/Authorized Agent Date \ <br />