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' PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS Ov `L.V i.y'Li� WO —DID <br />PARCEL TAX I.D. 0 PERMIT 0 <br />3C'.1 W2 <br />`hLS1`6 CU `I uZ -1 <br />LEGALI LOT NO. <br />BLOCK _ <br />TRACT <br />DESC. <br />OWNER ADDRESS crTY/zlp PHONE o'tq) <br />(T ri.i:}ci `.�J. �1JM S�v4 S-t <br />5�'taA..si 7ropfY�`fL 3�.�': 303.NLw �c { Stec G! `�a bhp i73 0700 <br />TENANT NAME F <br />CONTACT FOR PERMIT PHONE <br />CONTRACTOR ADDRESS CtrY/LP PHONE(tt>S) 3,(+5;oy4 <br />- \ku N-ov- mac, o(`60D Narb v. +113e4 tr arJ Mulct I-kto q!ba)5 <br />/BLit <br />Cood�+ UICENSEe <br />(,,L-LAJ t otw oD <br />USE OF 111 'lIN6 <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Ccynw <br />_ Electric —Gas Other <br />I ,(15 ,r✓(� CA- <br />a <br />WORK DESCRIPTION <br />o) <br />_ N <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIX'(URE'" R ITEM <br />Tollet <br />A/C -air handling uunits' <br />Bathtub <br />_ <br />Forced elrsystems <br />Lava <br />Lavatory (wash basin) <br />Shower <br />_ <br />Gas piping / <br />_ <br />_ <br />hen sink 8 disposal <br />Ois <br />Dishwasher <br />Clothes washer <br />Laundry trey <br />_ <br />_ <br />—Clothes <br />_ <br />Water heater <br />Gas flrepisce <br />Gas range' <br />dryer <br />Range hood!, <br />Sink (eervlreventer pletc.) <br />UrinalB8CKw prevsnter <br />Urinal <br />Fl <br />Drinking Fountain <br />i <br />_ <br />Exhaust fan '� <br />Heat pump, i <br />Unit heaterFloor <br />Boller �` <br />_ <br />_ <br />Greess bin p <br />Roof drains <br />Other <br />_ <br />— <br />Refrigeration Q ) <br />Noodstove o / <br />Other <br />_ <br />— <br />CITY <br />Y OF EVERETT LOCAL SALES <br />TAX <br />CODE 18 3105 <br />I hereby onritify that I have read and examined this application and know the same to be true and correct. A'1 provisions cf laws and <br />ordinsoes governing this type of work will be complleo with whether specified herein or not. The granting of a permit does not presume <br />to give a:jthoriry to violets or cancel the provision of any other state or local law regulating construction or the performance of <br />constnro)on. That I am authorized by the owner of thla property to perform the work for which application Is made and I comply with the II <br />StateeCContractors Law 18.`127 RCW and 296.200 WAC. <br />'I' (,(, I o-a'.l, C)s <br />Inn. c;. X <br />51gns ure or Gwnor/ ont or/ ulhonzed Agent al—�— <br />