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PL�tMIT APPLICATIO�� <br /> CITY OF EVERETT PERNIIT SERVICES <br /> 3200 CEDAR S�REET, E\/ERET?, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - D=BIT& CREDIT CARDS ARE NOT ACCEPTED <br /> ny ppRCEL THX I.D.# PERMiT# <br /> SITEADDR°SS /o/Z / �cK2CREGr��✓ Spy i �_�3 <br /> /o Ed6/c'�%r wr 9d'2��/ � <br /> SoirF r� Pdy ��-�j53 <br /> LEGAL LOT N0. BLOCK TRACT � <br /> DESC. C1TY2�p PHONE fq2r�7oS-79( <br /> ADDRESS <br /> OWNER�E� EN�Y CL�N'Tl'E � jo � IIN�� AVF �ELLLVLt WnS��Oy <br /> S'E S v�rE 1F «S � <br /> I CONTACT FOR PERMIT PHONE <br /> TENANT NAME y 2�% 3 V7�/.5-63 ! <br /> %/Cr �Y �S�2CC2, <br /> ADDRESS CITY2IP PHONE <br /> CONTRACTOR .�Jn U� '. <br /> (/ �-� <br /> CONTR.LICENSE# <br /> HEAT SOURCE CONTRACT PRICE OF WORK <br /> USE OF BUILDING I — ✓ � z�� �.pQ <br /> Electric _Gas_Other <br /> WORKDESCRIPTIONiNS� �� L r��-w NEp/.� SiG��• <br /> PLUMBING MECHANICAL <br /> NO. <br /> TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> A/C—air handling units <br /> Toilet Forced air systems <br /> Bathtub Gas piping <br /> Lavatory(wash basin) Water heater <br /> Shower Gas fireplace <br /> Kitchen sink 8 disposal Gas range <br /> Dishwasher Clothes dryer <br /> Clothes washer Range hood <br /> _ Laundry tray Exhaust fan <br /> Sink(servicelbar/mopletc.) — Heat pump <br /> �ackflow preventer Unit heater <br /> Urinal Boiler <br /> Drinking Fountain — Refrigeretion <br /> Floordrain — Woodstove <br /> Grease trap Other__� <br /> Roof drains — <br /> Other�— — <br /> I <br /> I CITY OF EVERETT LOCAL SALES SAX CODE IS 3105 <br /> � <br /> i I tereby ceritify that I have rP Q work will bee om'pl edpw thtwhelher sp c fed herein obnotUThe g antlng of alI permit does not presume <br /> Iordinaces governing this typ. <br /> i to give authority to violate cr cancel the Frovision of any other state or local law regulating construction or the performance o Wi�h the <br /> II construction.That I am authorized by the owner of this property to perform the work for which applicat�on is made and I comply <br /> State Contraptors L w�827 RCW and 296.200 WAC. <br /> f/� �� _ �o � o�/ <br /> I Si namre of OwnedConlractor/Authonzed Agen[ <br /> Dale <br /> � <br />