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'� <br /> I � ; �:RMIT APPLICAYI�.N � i <br /> CITY OF EVERETT PERMIT SERVICES ; ', <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ; <br /> 425-257-8810— FAX 425-257-8857—www.everetlwa.c�rg i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> SI7E ADDRESS PARCE�_TAX I.D.# PERMIT# <br /> I q OZ b - i��o5 <br /> LEGA LOTNO. BLOCK, TRACT <br /> DESC. � � <br /> OWNER AD�RESS CITY2IP HONE <br /> LW+ � — <br /> TENANT NAME TACT FOR PERMIT PHONE ; <br /> ,� I /�'�'S' ^ � C� ' <br /> CONTRACTOR ���rry r.�ev N A DRES , ��n'2 P, � PHONE� <br /> 7�� �Q.�'�� ��� Q jv rA <br /> CONTR.LICENSEp����NID��[ 1/1 � �����' - <br /> U3 F BUILDING HEAT SOURCF � ^ONTRACT""^�nF WtlRK <br /> 1�1s-d . — — — � <br /> •� Electdc Gas Other ���7 �$ ' i <br /> WORK DE.;CRIP ION 4 �} �j,� �(�S , ,� bT� Ol� 5r�� f�n � �as t � � <br /> u <br /> �i�U��t��-. �,� ,3�,, ��P,�,�y , <br /> , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM . <br /> Toilet _ A/C–alr handiing units I <br /> BathWb Forced air systems <br /> Lavatory(wash basin) _ Gas plping � <br /> Shower _ Water heater <br /> Kilchen sink 8 disposal _ Gas ilreplace <br /> _ Dishwasher I _ Gasrange � <br /> Clothes washer Clothes dryer ; . <br /> \Nater heater Range hood i <br /> Sink(servlce/badmopletc.) _ Exhaust far, i <br /> Backflow preventer _ Heat pump <br /> Urinal � UNl heatar <br /> Ddnking Fountain _ Boiter <br /> Floor drain Refrigoralion <br /> Grease trap _ Woodstove <br /> Roof d;ains Olher <br /> O!her — <br /> _ � <br /> — — — — � <br /> i <br /> CITY OF EVERETT LOCAL BALES TAX CODE IS 3105 <br /> I hereby ceritify lhat I hava read and examined lhis application nd know the same to be true and corcecl. All pravlsions ot laws a d <br /> ordinaces goveming this type of work will be complled wilh wh ther:pecified herein or noL The grantlng of a permit does not pre me <br /> to give authorlty to vlolate or cancel the provlslon of any other tate or tocal lativ regula8ng wnstructlon ar lha performance of - <br /> construct That I m authorized by the owner of thls property to perform the woi�forwhich applicalion is made end I comply wi h the! <br /> Stale C J ctors w 18.2 RCW and 296.200 WAC. <br /> '� a �� � <br /> Signal r OH�ne/ ontraclor/Aulhodzed gent ate . <br />