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t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM s_),2�fl� <br /> SITE ADDRESS PARCEL TAX I.D.JI PERMIT A <br /> 9�2o coae�a �QtiE - <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER n ADDRESS CITY2IP Aglp�NE <br /> S42t.,� /'�I�E �) I�bZ r1w 47'�� �lo� s����E� wR �2a6�6S►�Y3Sb <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> --' ���CM� �lllrc N E�MAIL���QFJMyQSSSN'R.02(. <br /> �bATftAET6ft �66�€S'$---�IT9R1� <br /> arnEl� <br /> CONTR.LICENSE H <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> s���l� ��,� �E�ectric _Gas_Other �i�6 00 <br /> WORK DESCRIPTION ` <br /> ��n ✓�q /1fW P/�(`/��lie/� 'F4f peC�ET �pe� 'f9 SCQtIf1'IL� �/�.r�p(y ��'TN�abr� HrEA <br /> ' Flw..00.�'./'� "Y�Tf� W�'��l(�ew�$ <br /> — � 1 vlCw tr•nOs..i �^ FPlNfees.l <br /> `^' LU ING � MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ A�C—air handiing units <br /> Bathtub _ Forced air systems <br /> Lav��tory(wash basin) _ Gas piping <br /> ShoNer _ Waterheater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer _L Cbthes dryer <br /> Water healer Range hood <br /> Sink(service/bar'mop/elc.) � Exhaust tan <br /> B�ckflow prevenler _ Heat pump <br /> Urinal _ Unil healer I <br /> _ Drinking Founlain _ Boiler <br /> Floor drain _ Ref�geration <br /> Greasa trap _ w�dslove <br /> Roof drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3/05 <br /> I hereby cerilify that I have read and examined Ihis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governin9 Ihis type of work will be complied wilh whether specified herein or not.The granling of a permit does nol presume <br /> lo give aulhority to vioiate or cancel the provision of any olher state or local law reguialing construction or the peAortnance ot <br /> consln�ction. al I am authonze by tlie owner of this property to periorm the work tor which application is made and I comply with lhe <br /> Stale CoN tors Law 1827 and 29G.200 WAC. <br /> ✓4,� V`—` 2? bt� <br /> Signat e of Owner! onlractor'Authorized Agent ate <br /> �-- <br />