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: <br /> PEkMIT APPLICATION <br /> CITY OF EVERET� PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425�257-8857 —www.everettwa.org <br /> , _ ' _ � � _ : ,. <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS�Z�BW Mb�/NE✓�EK/O�P.� pARCEL TAl( i.D.# PERMIT# <br /> i/o5/3nST.�,G10/�¢"�ST,, 92o/3'"'� I 29o5/BODZa/ZOD I �U�G�'-d � � <br /> _ /�F ST• � <br /> �EGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY/ZIP PHONE <br /> /�ORT OF EI�ERETT 29//80rV'O ST. E!/E�ETT 9B206 42S-38B-0603 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> I POL/ LU/S 4Z5 388 - 0603 <br /> CONTRACTOR , ADDRESS CITY2IP PHONE <br /> CONTR.UCENSE# <%���/' -� <br /> I USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> I _Eleclric _Gas_Other <br /> WORK DESCRIPTION <br /> � r�Ei�o�isr�EXisTiNG BUi�oiNG Na. 2, �A, 78, ��9, �B, �20 <br /> �._i��. �.,..'. "L i;.'G.` ��i rNQ/'/n.0 ✓.f:..r: i��_!1G iJ � �.ZJ /1 " SI'. <br /> '�uc., iJ,; /�J ✓?.3 i�"5 i.7"�T C3�n� :=o'. `J�l�i /�f .-�, <br /> =' � J J T. <br /> 9t-Oo. �6� ��.'U!-! T <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet AIC—air handling unils <br /> Balhlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Ciothes dryer <br /> Laundry tray _ Range hood <br /> I _ Sink(service/bar/mopletc.) ' __ _ Exhausl fan <br /> Backflow preventer Heatpump <br /> Urinal Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby ceritify that I have read and examined this application and know the same lo be lrue and correcl. All provisions of laws and <br /> ordinaces governing this lype of work will be complied with whether specified herein or not.The granting of a permit does nol presume <br /> to give aulhoriry to violal cancel the provision of any olher state or local law regulating consWction or the performance of <br /> construclion. Thal I am e h riz (� b Ihe owner of this property to perform the work for which application is made and I compiy with the <br /> State Contraclors Law i 8 27 Ce11!a d 296.200 WAC. <br /> '� " � ,J Y>, � 6,OS <br /> Signature of Owner/Con a pdAul 'zed Agen! Date <br />