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PER.MIT APF�L�CATION <br /> CITY OF EVERETT I�ERMIT SERVICES <br /> 3200 CEDAR STREET, ►=VERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-E857-www.evere:ttwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / ` S// <br /> SITE ADDRESS PARCEL T/ll(I.D.p PERMIT A� <br /> y o��-� FR�P�y t�� r- r. v �148 �� o o i o 0 9 c � 116� `��% <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. q F� � O I �� r-N�LL�:� I : Ab,]� � <br /> OWNER ADDRESS CITY2IP PHONE <br /> naiLl � ! �_ �� i �.Lr . z � �r^o�ol <br /> I �2. lu 1 Fizrh�ayF�� r. r�'r2c-rT 'I �`-_ '�i`>-/ � 2 � <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> Sah, r r�. tl�� v� ���.� Ne�oe � �� Y.,�� ti (� -3o79 <br /> CONTRACTOR AJDRESS CITY2IP PHONE <br /> r��� c ��h,Nrr �. , � , •��s. �ul,-3o��� <br /> T C. � R � I � S�. ) N _ l� l t�, (�i �r D^=o un <br /> CONTR.LICENSE p n/Z/ �/� �/`LOS 1 <br /> H��- C.L. � 4I �t lr 6- C 1,. G !F <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> S�" Electric _,�,Gas Olher ;(. Q D D <br /> WORK DESCRIPTION <br /> .c�..a�n �� ���A+. �24�Li.� L(� �r�lC1...iLi"th��l- ��. <br /> ] <br /> PLUMBING h1ECHANIGAL <br /> NO. TYPE OF FIXTURE OR I7EM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Bathlub Forced air systems <br /> _ Lavalory(wash basin) �_ Gas piping <br /> Shower Waler heater <br /> Kitchen sink 8 disposai Gas(ireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(service/badmopletc.) Exhaust tan <br /> Backllow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinkinc� Founlain Bailer <br /> Floor drain Refrigeration <br /> Grea:,e trap Woodsto�e <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify thal I have read and examined this applicalion and know lhe same to be irue and wrrect. All provisions of laws and <br /> ordinaces c�oveming lhis type o(work will be complied wilh whelher specified herein or not.The granting of a permit does nol presume <br /> lo give auUiorily lo violate or cancei the provision of any other state or local law regulating construction or the peAormance of <br /> conslruction.Thal I am aulhorized by lhe owner o(ihis property to per(orm lhe work(or which applicalion is made and I wmply wilh lhe <br /> Stale Conlraclurs Law 1827 RCW and 296.200 WAC. <br /> L \...�.� i«� l� -�� �� �, / - 5-1 � <br /> $fg alure of Own�+dContrac r/ ulhonzed Agenl Dale <br />