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, . —� �_ <br /> PERMIT APPLICATION _, ��, <br /> CITY OF EVERETT PERMIT SERVICES �� <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS i.RE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.• PERMIT A <br /> (C�,3 ��IERGP��N � Z�O42y c�Z032fX� ,,��,o -c,� <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. 2 <br /> UWNER ADDRESS C P P E <br /> JoSC-VI�F f CHAQL� PIG1vR'f�RO�OtS33 ��GR�1�1 W`I ��' �175 3�18- <br /> TENANTNAME CONTACTFORPERMR L���� PHONE <br /> �isn�k-r�Ra VoC.KswAs�N 1ZoD C►�1vS71R►�►� �o�NY� tizs-6�o-1968 <br /> CON7RACTOR ADDRESS CITV2IP P E <br /> LoD�S�h� Cp� �63�3 ZO�{Tr sr. sw�Lyn,uwooD, 98o3b yzs-67o- 1�60 <br /> CONTR.LICENSEX �0��5�174� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> J� � <br /> �(j70 D��S�}� I _Electric �Gas_Olher 73� � �3 <br /> � <br /> WORKDESCRIPTION INST�LL �S��h. LoW- iti�Nsll'y GRS �NA�A� �j��� <br /> w�-n-r �a-s VI PI NG �Na con,�-�oLs, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF flXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Foroed air systems <br /> Lavatory(wash basin) � Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray Range hood <br /> Sink(servicelbar/mopletc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Fioor drain Refigeration <br /> Grease trap Woadstove <br /> Roof drains Other <br /> Othei �L ��µ�� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby caritify lhat I have read and examined this application and know tf�e same to be true and correct. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specified herein or not.The gran6ng of a permit does not presume <br /> to give authority to violate or cancei the provision or any other state or local law regulating construction or the perfartnance of <br /> construction.That I am authorized by the owner of this property to perform the woric for which application is made and I comply vnth the <br /> State Co c rs 18. RCW and 296.200 WAC. � <br /> � 1� f2 ° <br /> Signatu of er/Co ractor uthorized Agent Date <br /> � �,� <br /> ', i�v <br />