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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT iERVICES <br /> 3200 CEDAR STREET, EVERETT, V+A 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I� `7 `�7 <br /> SITE ADDRESS PARCEL TAX I.D.# I PE M T# <br /> 884 S E� �'Y�Y�Y'�c wayw. LQ ---1—/—�—�-� � L <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER AODRESS CITYIZIP PHONE <br /> TENANT NAME CONTACT FOR PERM:T PHONE <br /> [�os �O�Y"i��aS I <br /> E•MAIL <br /> CUNTRACTOR ADDRESS CITYIZIP PfIONE <br /> �y� c'��{ 0. �ci`ce �rJ�ec�iotti �1,3� C.L�c��e �S� SL"`-�'flr'iCt��( �� 7Z3 93q2_ <br /> CON7'R.LYCENSE DIZTEC �P�� 7�� " - ` ` � .— <br /> USE OF BUILDING I — HEAT SOURCE CO�lTRACT PRICE Or WURK <br /> Eleclric _(�as_Olher `'f`�OG�O a <br /> WORK DESCRIPTION <br /> Rc��� c6vy C��c�,c�Ca( �� . e S��� r�.S�i c�. sj..Sf �,�, A� <br /> S•�S f�, I( '�i pW �yw c�f cCc rc�.. �'�a ( �'� S�'Pvr-SS1a�n Sy S �.- <br /> vl� - 3v� 'k �Kc's�-�� �ivo �ls 2 <br /> PLUMBING MECHANICP.L <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling wiits <br /> Balhtub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer _ Clothes dryer <br /> Water healer � _ Range hood <br /> Sink(service(bar/mop/etc.) � _ Exhaust(an <br /> _ BackFlow preventer �� _ Heal pump <br /> Urinal Unil heater <br /> _ Drinking Founlain Boiler <br /> Floor drain Re(rigeration <br /> Grease trap _ Woodslove <br /> Root drains Othe� <br /> Olher <br /> CITY OF EVERETT LOCAL SALES�AX CODF IS 3105 <br /> I hereby cerilify that I have read and examined this application and know the same lo be true and correcl. All provisions of laws and <br /> ordinaces c�overning lhis lype of�vork will be complied wilh�vhether s.pecified herein or not The granting of a permi!does not presume <br /> to give aulhonty to violate or cancel lhe provision of any olher state or local law regulaling conetruction or the pedormance o( <br /> conslruclion.That I am au:horized by lhe owner ot this property to peAorm lhe work for which applicalion is made and I comply with lhe <br /> State Conlraclors Lew 18.27 RCW and 296.200 WAC. <br /> /,� 1 ( � cJC-L C��-( ��rlrs- �d��!� <br /> Signal�ire o OwnedConlrac or/Author¢ed Agent Date � <br /> � <br /> Y <br />