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� i� <br /> P�RMIT APPL.ICATI(3N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 '� �- 13 �07 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �o� Gr� �'�1�� - 3 <br /> LEGAL LOT NO. BL TRACT OR SUBDIVISION# <br /> DESC. ,5✓/ IG I 0� <br /> pyyNtk � � ADDRESS CITYIZIP PHONE (!�/l j� <br /> �G� fl� �'"/c�Np9Eiv�P�1 � � // Y�2 � rci �+�jr��en w �y �y(r�i/. 982oy <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �� �- �j'��ir . I c` �/s f� CUN�• C�/ls) 3�/6 ?3F/ <br /> (((C O � � e-ma� <br /> C NTRACTOR ADDRESS CITYIZIP P <br /> ,S'ar� cf��'L S%ynclfvve f'/v:�ti�^ ln�lf�l`n�y /1��Zs /l�7/a ,drL,Sf� �2o�� 3S6- Z3�r <br /> CONTR.LICENSE ri <br /> �oTNfCL. u��l Q�P<�/2 <br /> USE OFBUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �f5 r/.��/� � y 7� _Electric _Gas_Other <br /> WORK�ESCRIPTION �U�Lf /��/1., � Q�? / � ��5. i /f/ � d n <br /> �_ d r��'i �'L Tia� ,�' d.� . <br /> PLUMBIN('s MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF F�XTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower � Water heater \ <br /> Kitchen sink 8 disposal _ Gas fireplace ��C CJ <br /> Dishwasher Gas range <br /> Cloihes wa�her Clothes dryer <br /> � Water healer _ Range hood <br /> Sink(service/badmo�.,'atr,.) Exhaust tan <br /> _ Backflow prevenler _ Heat pump ppp�� <br /> = Urinal 9 = Unil heater �� D!/ <br /> Drinkin Founlain Boiler / / <br /> Floor drain Refrigeration / � <br /> Grease trap Woodslove <br /> _ Roo(drains � Other ' � , 'n� t y <br /> Olher y�U�✓.1lY ���W`� <br /> _ (A� (1�4'CF t�%A�nI�I�F% �/�, <br /> CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> I hereby ceritify ihat I have read and examined this application and know the same to be lrue and correcL All provisions of laws and <br /> ordinaces goveming lhis type o(work will be complicd wilh whelher specified herein or nol.The granting of a permit does not presume <br /> to give authority lo violale or cancel the provision of any olher state or local law regulating construction or the peAormance of <br /> conslruclion.Tliat I am authorized by lhe owner of lhis property to perform the work for which application is made and I comply wilh the <br /> Sta�te�Crontractors Law 18.27 RCW and 296.200 WAC. / <br /> ,/(//ar�� /J /'¢i r��f.�ns�/r'�niiG9��� 2 �/ �3 �.� 7 <br /> Signature of Owner/Contractor/Aumuu�r,�i 4nenl �ate <br />