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PERMIT APPLICA710�V �` 8'�8�9 <br /> CITY OF E�PR�'�CP-�tMIT SERViCES; , - <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ,i'�� j; ;' <br /> 425-257-8810— FAX 425-257-8857 —v✓ww.everettwa.org � � � �'"� � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ' <br /> SI?E ADDRESS ?"•, ,t'�;F PARE�l�Y�1!D*I� .. t!yj� I'e!•�.` ' r P.ERMIT# ' <br /> -- ` : � r�'c;-co3 <br /> LEGAL LOT NO. BLOCK FRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE •�� <br /> �. �t��rs ��� ��� �� a� �� <br /> TENANT NAME � CONTACT FOR PERMIT� PHONE J.�/J5 a CJ�3 �� <br /> `T-�-�(-pp �,volt��t� � rt'orY� `" <br /> E•�dAIL � <br /> CONTRACTOR ADURESS CIN21P PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDIIJG HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eleclric Gas Ofher <br /> WORK DESCRIPTION <br /> �a�n�ed �� r� GtJ �br� 'J��61 - (�,ee pi c�� I <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIRTURE OR ITEh1 <br /> Toilel A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> I<itchen sink 8 disposal Gas tireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Water healer Ranae hood <br /> Sink(servicelbadmop/elc.) Exhausl fan <br /> Back(low preventer Heal pump <br /> Urinal Unit healer <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodslove <br /> I _ Roof drains _ Olher <br /> Other <br /> CITY OF EVEftBTT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examinad lhis applica(ion and know lhe same lo be lrue and correct. All provisions of laws and <br /> ordinaces goveming Ihis type of work will be complied wilh whelher specified herein or not.The granting of a permil does nol presume <br /> lo give aulhorily lo violate or cancel the provision ef 2ny other slale or local law regulaling conslruction or ihe pedormance o( <br /> construction.Thal I am authorized by lh�owner o(this property lo pedorm the work for which applicalion is made and I comply wilh the <br /> S ate Contraclors Law tU.27 RCW and 29E.200�;VAC. <br /> ,/,/,.� �v-3D-O � <br /> Signalure of Ovd�/ConUaclor/Aulhorrzed AaeM Dale /� <br />