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F�RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> 7�2-7--D� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TA%I.D.# PERMIT# <br /> " O] l .,c>� , � SO 1 G7—oU� <br /> LEGAL LOT NO. CK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> Luc � c< ��v��foQ,,p,� �.C.c <br /> TENANT NAME � � CONTACT FOR PERMIT PHONE (f��_� ,� ,_.� p� L <br /> �� I G1:�0 ISGC 11� �/Mcj' 1'Cli�� E-MAIL (�r,S y�SjJ�-1T (M <br /> �T ACT R A DRE � � 0 <br /> ����j- S=d',� ( � �I6 zx uv A��-+�.� �',a�rtt�- c-,,� �y'r �-t' <br /> CONTR.LICENSE# <br /> S p�r-cs � 9�r �-n ��-�/o6�r <br /> USE OFBUILDING HEAT SOU�GE CONTRACT PRICE OF WORK <br /> Electric _Gas_Other �JO <br /> — �. Gc.�o — <br /> WORK DESCRIPTION <br /> �,-�.�i �J �I„��•-�r L-���{�YS �� ����c �.�. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Water heater __ Range hood <br /> Sink(service/bar/mop/e!c.) _ Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap _ Woodstove <br /> Roof drains Other_ <br /> Other <br /> CITY OF EVERET!LOCAL SALES TAX CODE IS 31U5 <br /> I hereby cerility lhat I have read and examined this applicalion and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this lype of work will be complied wilh whelher specified herein or not.The granting of a permit does nol presume <br /> to give authoriry lo violale or cancel the provision o(any other state or local law regulating conslruction or the p?�formance of <br /> construction.That I am aulhorized by the owner of this proFerty to perform the work for which applicalion is made and I comply wi�h lhe <br /> State Contrectors-L-avr18c27 �A�� <br /> , -�—�"1,—C�� 7) —�, <br /> –�J <br /> Signatur�o�edContractorlAuthorized Ayent Da �I <br /> v <br />