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�lRMIT APPLICATIC�i�I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> S�TE ADDRESS �fSS�• E��R6��-�t� W l� PARCEL TAX I.D.# PERMIT# <br /> J�2�- Fraa �'� -/� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �3.�a�-��y�( <br /> 1'�LO /�� ��,2 TNC. P, 0. 1�� 4�1�� Pa27�wdD�p(l.q� ' q�- <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> Lrrt�.� C��sqns P� z z�v- I T.1-, l,uG��r�— d ob -39a-.33.(� <br /> CONTRACTOR SUUOVa7U� CO�sST SR�1ts. ADDRESS ,,,� CITY2IP PHONE <br /> �99r-N.NOCiaL9K�wAY aob-YY��� <br /> CONTR.LICENSE#x�NDIJCS D SS�KIJ SS� 8��- ,���� <br /> 4 �03 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PR�CE OF WORK <br /> Tl4K.� Oui Pi?�2�' �[Electrir. �Gas_Other Lf� �` <br /> WORKDESCRIPTION �—ENA�vi � �G[(�1� O �LT OI� S/hqtL '1��. -/—y ()�iT <br /> Q L 7i `Z/V (Z-l.� • <br /> PLUMBING MECHANICAL ' <br /> NO. iYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel AIC—air handling units <br /> Balhlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower • Waler heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Ciothes dryer <br /> Laundry trey Rango hood <br /> Sink(servicelbarlmop/etc.) Exhaust(an <br /> Backllow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Greaso trap Woodslove <br /> Roof drains Other <br /> Other <br /> I <br /> I <br /> I C�TY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I I hereby ceri6fy lhat I have read and examined lhis applica6on and know the same to be lrue and correcL All provisions ot laws and <br /> ordinaces goveming lhis type of work wiil be complied wilh whether specified herein or not.The granting of a pertnil does not presume <br /> � to give authority to violate or cancel the provision oi any other state or local law regulating constructlon or tho performance of <br /> conslruction.That I am authorized by the owner of th(s property to perfo�rn the wurk for which applicalion is made and I compty wilh the <br /> State Contre tors Law 18.27 RCW and 296200 WAC. <br /> �G�.�.O� �j--��- OS �� <br /> Signature of OwnedContractor/Authonzed Agent Date <br />