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� — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25'7-8810- FAX 425-257-8857 -www.everettwa.org `-� <br /> --j _� _a 25 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PNI <br /> SITE ADDRESS PARCEL lAX I.D.# PERMIT# <br /> /D 9!D EvE/I���J u� oos�y.29o�3aa3oy 04�� .' (�� <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> OESC. <br /> OWNER ADORESS CITY2IP PHONE <br /> j�aN NEUwr�4N/U /d9/O �veRC�E� Way ���� `����"69S/ <br /> TENANT NAME CONTACT FOR PERMIT PHOI;Erp <br /> 82EJ�T WRLlC6l� .340'6J o �8�O <br /> E-MAIL WRtK612 A.1 <br /> CONTR�ACT��a �. �u��pN ADDRESS�� �q� AVE � � P N �v�� <br /> StE . 8 ^'�rt ViccE '^' T <br /> CONTR.LICENSE# �aA�-KEC�k f 12J<2 w��8�7� 360-foS73-QBlo <br /> USE OF BUILDING oFFicE � I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Sthw wwo�s bQ`�D <br /> �Cleclric _Gas Other 3 4 <br /> WORKDESCRIPTION .xit15Ti4�L �4 'r� �XYB'� m�'NUFACT�U�!'.D �' ANO �NS�'u- <br /> G- 7&i+oPrr/�+��-'� ��vu.F.a,�rwc�o Ef�+�+ae sF5 H�oDE�- s►fou� EJo�rlae . <br /> �y w�c.� �6� -rr�B rr�i��rE ss��vu,�,��ru.�D hb•yr�s .v�w s��-5 <br /> C�N7�Z. MOVlNi� TffFiCE G'EN7E2 �p�vi /G{�.ZS �}+,v �j $. 8✓EiQ6TT <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet _ !vC-air handling uni+s <br /> Balhtub _ Forced air syslems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink&disposal _ Gas fireplace <br /> D�shwasher _ Gas range <br /> Clothes washer Clothes dryer <br /> � Water heate� Range hood <br /> Sink(servicelbadmop/elc.) _ Exh:ust fan <br /> Backflow prevenler _ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Reiric�eralion <br /> Grease trap _ Wood�tove <br /> Roof drains Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined lhis application and know the same to be true and correct. Ail provisions of laws and <br /> ordinacr�qoveming this type of work will be complied with whelher specified herein or not.The oranting of a permil does not presume <br /> to qiv ' �riry lo violate or cancel ihe provision of any olher slate ur local law regulating construclion or the performance of <br /> const ... ..Thal I am authorized by the owner of lhis property to perform the work tor which application is made and I comply with the <br /> State CoNrar,lcrs Law 18.27 RCW and::96.200 WAC. <br /> �'.._,.,.�� Ol��ay-�"'_"� .S S"t78 <br /> Signalure of OwnedContractorlAuthorized Agent Date � <br /> �---- � --— v <br />