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PtRMIT �►PPLICATIC,nI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, �VERETT, WA.98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> ; z Cve reen Wa` ��0� - OI'O <br /> LEGHL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. � <br /> OWNER ADDRESS CITYIZIP PHONE <br /> c 'Y 1 I �- C v e�-� .�e e.ri �-�et--E-i- tn�A �� <br /> TENANT NAM< CONTACT FOR PERMIT PHONE �iy3��µb—�,� <br /> ��o�,l�n� l-�e E•MAI�YouN�/sn�r-�Nc��fo-rr�a� M <br /> CONTIlACTOR ���UI��S IJc.O/J ���,t C o ADDR�O53'� ��iin /aU� s / 'ZD� /1 P�af1"`2�J/ I�—' " " <br /> CONTR.LICENSE# � � 1 <br /> YD�d iJ -C{N S o�1 j« w A `�d�c�n3 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eleclric _Gas_Olher � 3 500�` <br /> WORK DESCRIPTION <br /> W�I i S;�-.�. � ( L.�,�k� � M � �i ) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavalonr;::��sh basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal Gas(ireplace <br /> Dishwasher Gas ranc�e <br /> Cbthes washer Clothes dryer <br /> Waler healer Range hood <br /> Sink(service/�ar/mop/elc.) _ [xhausl fan <br /> Back(low prevenler _ Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap Woodstove <br /> _ Roof drains +_ Olher ��t <br /> Olher <br /> _ —I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify lhat I have read and examined ihis applicalion and know the same to be true and correct. All provisions of laws and <br /> ordinaces goveming this lype of work will be complied wilh whether specified herein or nol.The grenting of a permil does not presume <br /> to�ive aulhority lo violale or cancel lhe provision of any other slale or local law rec�ulating construclion or the performance o( <br /> construclien.That I am authorized by lhe owner of lhis property lo perform lhe work for which application is made and I comply with the <br /> Slale Conlr2clors Law 18.27 RCW and 296.200 WAC. <br /> `'�_ C —� �/d i� � <br /> Signalure of Own�N ontraclor/Aulhonzed Ac�enl ale � <br /> �/2 <br />