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. � � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-0857—www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PARCEL TAX I.D.# pERMIT# <br /> SITEADDRESS ,..� �` n �Q� --��-� �O � (�OZOO �� 7- /9 <br /> 3 6 I S 'r�-���`/ � � <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISIONN <br /> DESC. <br /> OWNER <br /> ADOflESS CITV2IP PHONE <br /> I'y p�� N c r�c S'��T�►� �$� S i-s�uAy P�.r `�`6�-U 1 ���5'S��� 'S 6 <br /> I TENANT NAME CONTACT FOR PERMIT PHONE �G SU� ����� <br /> 5,��.,,�.ty ��� �ve�� � <br /> �• S I�M� G SC ki.J P�-�� E•Ma� <br /> �y��tc��Y C�)NS��'�L o • k �V i� M,uK1�`r�J �82.�5 � C� <br /> CONTR.LICENSE!t S� ��� O � � S�/� �i � �7—U 6 �I ' ' �O <br /> USE OF BUILDING HEAT SOURCE I CO��T?RI�CE 00�RK <br /> S y _Eleciric ]�Gas _Other �� �� <br /> . <br /> WORK DESCRIPTION <br /> h.i��c� 1 q� x �or �c�,� �/ 5 s�eg s k ��a �1� v�a �,� vv�c� <br /> ' PLUMBING MECHANICAL� � � <br /> �Ol1� <br /> N0. TYPE OF FIXTURE Ofl ITEM NO. TYPE OF FIXTURE OR ITEM <br /> A/C-air handling units <br /> Toilet Forced air sys�ems <br /> Bathiub Gas piping <br /> Lavatory(Wash basin) — Walcn c�atcr <br /> _ Shower Gas lireplace <br /> _ Kitchen sink&disposal — Gas rangc <br /> _ Dishwasher Clothes dryer <br /> Clolhes washer — Range hood <br /> Waten c�aler Ezhaust fan <br /> Sink(servicelbadmop/etc.) — heat pump <br /> Backflow preventer Unit heater <br /> Urinal Boiler <br /> Drinking Fountain Relric�eration <br /> Floor drain Woodstove <br /> Grease irap Other <br /> Roof drains — <br /> Olher__--- —" <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cerilily Ihat I have read and ezamined Ihis applicalion and know Ihe same to be true and correct. All provisions of laws and <br /> nrdinaces goveming this lype ol work will be complied with whether specilied herein or not.The granting of a permit does not presume <br /> iro give authoriry to violate or cancel the provision of any other state or local law regulating consiruction or the peAormance ol I <br /> conslruction.Tha!I am authorized by Ihe owner of this property lo pedorm the work for which applicalion is made and I comply with the <br /> I Stale on raclors Law 27 CW d 296.200 WAC. <br /> � 5 �� uh,'�.C<T �Y�S�`n . '� ` -7 ' p S' <br /> Signature ot Own r� o tfac r/Authori ed ent Dale 1/Z <br /> I <br />