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. . � - <br /> P�RM�� A�PL.ICATIQN <br /> CITY OF EVERETT P��i!'�IIT SER�/eC��� <br /> 3200 CEDAR STHEET, E�!CREri. WA 98201 <br /> 425-257-8810—FAX 425-257-8857—H�ww.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FRO�i 3 Gh; T��a F'A�1 <br /> � <br /> SITE ADDRESS �{Q2A �YU'qrcer. Way PARCEL TAX I.D. p ^ . PERMjT 3t� <br /> F.aerol4�� Wt� 982n3 �oS v/ �1 cG�T_ �;";,^, J � r.>��=� v�= <br /> , I EGAL LOT NO. BLOCK TRACT OR SUODIVISIOH p <br /> D"cSC. <br /> OWNEF cs � lnC, AUDRE55 CITY2IP PHONE <br /> �0`P 435� w• ���'��k�• Gkcrdale,Az ��z3) <br /> �av�d �o�d�.n �:: ��, ;:>i �sao� 93-t-R81(p <br /> TENANT NAME CONTACT FOR P[Rfi71T PHONE C��, �3-(B�j(p.2 <br /> �;ll�.,-Tree S�fcres Monicu �curn <br /> E•MAIL <br /> CO R C O —7o bc 4. D S CIT 21P O E <br /> CONTR,LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Mercpn4il-e CR�-��� _Electric _Gas�Other � �� �751 • � t}�"�^��-> <br /> WORK DESCRIPTION �(hp�,�'�[l,I 'r.Q�- (11L�YOVeY�,{ti{' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUFE 0�iTE..`.S <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas lireplace <br /> Dishwa,her Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/elc.) _ Exhaust tan <br /> Backtlow preventer __ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Relrigeration <br /> Grease irap _ Woodstove <br /> Roof drains Other <br /> Other <br /> I <br /> CITY OF EVEflETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined ihis application and know the same to be irue and correcL All provisions of laws and <br /> ordinaces c�ovcrning Ihis typc of work will be complied with whether specilied herein or not.The granting of a permit does nol presume <br /> to give authority to violate or cancel the provision ol any other stale or local law regulating conslruction or Ihe performance of <br /> construclion.That I am authorized by�he owner of ihis property to perlorm the work for which applic�:ion is made and I comply wilh the <br /> Slate Contracbrs Law 78.27 RCW and 296200 WAC. <br /> c.,n�����,�t�,� �1,�-- <br /> SignaWreof wn dCoNraclor nze en i D te � <br /> � Z <br />