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P�r�MIT APPLICATIO�N <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3:?00 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org � Z-^-� `fl7 <br /> APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM � � I � - ()( D <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> lll032 �z.v6�-Gu�Fk.N o� oot <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE�p� •3�A• D Sp'} <br /> M�KE <br /> E L C,�\L►4 N (�O 2�a� E�APJL <br /> NTR C � R �PSOp ' <br /> F�a� s�(stEw,s 'Pe ��x �b 3 8 � 425��-I•`!�� <br /> CONTR.LICENSE# R�$O/S � I -l� O <br /> 1�oMQ� 155 4� <br /> USE OF BUILGING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �;� , {[E,�j'T(A{ZAhIT _Electric �„Gas_Other L � ` �� � <br /> WORK DESCRIPTION R�� 1�" (� AS LI�� '�'� COO{C I�1►JIE, � �NS'('Rl�„ F1QE <br /> S�PPct4,ssion� TD 1 O ' c�p�ss Z' l�loo�D� lnl�sT�l:t. GLAss Z MoW7 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ AIC—airhandling units <br /> Bathfub Forced air systems <br /> _ Lavstory(wash basin) � Gas piping <br /> Shower _ Waterhoater <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Waler healer _ Range hood <br /> Sink(service/bar/mopfetc.) _ Exhaust fan <br /> BackOow prevenler _ Heat pump <br /> Urinai _ Unit healer <br /> _ Drinking Founts;n Boiler <br /> Floor drain Refrigeratlor� <br /> Grease trap Woodstovu� �,, '�- �' � <br /> Roof drains � Other��r�O?� <br /> Other _ — <br /> CITY OF EV[RETT LOCAL SALES TAX CODF!S 3705 <br /> 1 hereby cerilify thal I have read and examined this application and know the same to be true and correcl. All provislons of laws and <br /> ordinaces governing this l;�pe of work will be complied wilh whether speeified herein or no?.The granting of a pertnit does not presume <br /> to give authoriry lo violale or cancel lhe provision of any olher stale or local law regulatirg construction or the performance of <br /> conslructien.That I am uthorized by the owner of this property fo periorm the work for which applicalio�is made and I comply with the <br /> St te Co aclors c� 7 RCW and 296.200 WAC. 1 <br /> �\ \1 <br /> Signalure of nedConlrac r/Aulhorized Agenl ale <br /> �/� <br />