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P RMIT APPLICATI�iN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �—� �,p 7 _ <br /> SITE ADDRESS V(�) reLY� PARCEL TAX I.D.iF PERMIT# <br /> 32 u C - o�e <br /> LEGA ��N���� BLOCK TRACT OR SUBDIVISION B � <br /> DESC. ZOD41a Oo L� C. DF- C�TKoFEV'F.fl£�T' BNDI�I(, Sll"E pIAN 03' �O <br /> OWNER ADDRESS CITY2IP PHONESoq •3��3 <br /> �►.�{�.n f�K141LQ1: �.5 cgiR �i./ R�VE.2.51DE. _SlA .�O SPoXpNE �qZo <br /> TENANTNAME � C.NI� NC�O CONTACTFORPERMIT PHONE 'j„p(p• ' aSO�- <br /> ME.KIUkN r-O�O MIYGE.QALL4(J��J <br /> M��EL RNC9�l1AN0 MI K� �rz.��►�.rn R-,� I P E�NIPJL . CO/Vl � <br /> �.s�. GoNS`iTtl�l(�T1oN LLC 132o Zla�' �. N.W. Sk5 Z53�z�5• 2358 <br /> CONTR.LICENSE# R��4c4�q49�� ►�I,LgU��Z ZO(p �.���• �$O} <br /> USE OF BUILDING l HEAT SOURCE CONTRACT PRICE OF WORK <br /> D12A/ �( o0 <br /> �AP�II�. �� _Eleclric �Gas_Olher *� Z3� DOO <br /> WORKDESCRIPTION IMPRaVE 2FcT�1l. 5 F�cE INrU RESTLIRAI�(1—� N4,W Noi �L� <br /> 1-k-6.-i�-r4�¢-� �-l.A$S ( Mo�D� W RU-5 � El.���z'tt-(�L. � G���1+�(31NC� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR I?EM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaustian <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap _ Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify thal I have read and examined lhis applicalion and know the same lo be lrue and correct. All provisions of laws and <br /> ordinaces governing lhis type of work will be complied wilh whether specified herein or nol.The granling of a pemiit does not presume <br /> to give aulhority lo violale or cancel the provision of any other stale or local law regulaling construcGon or the performance oi <br /> construction.Thal I am aulhorized by lhe owner of this properly to perform the work tor which application is made and I comply with the <br /> Slate C nir ctors Law 18. RCW and 296.200 WAC. <br /> ��e�� ���� � ' ► o�,, lo�. <br /> Signalure (0 edContracto uthonzed Agenl Da� ta ��Z <br />