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PtRMIT APPLICATIC�N <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 <br /> SITE ADDRESS rVerE{� W« PARCEL TAX I.D.# PERMIT p <br /> '1711 QA,��,���oi�J l� ����3 Gby�� lv��t�3 �o�7 ��7/D "�3 <br /> LEGAL LOTNO. BLOCK ���i°��B���ar`oa'� �A-14�STut �tS^psrN�t���t'oNi.a��^/ � <br /> ' ESC. <br /> OWNER ,� ADDRESS CITY2IP yr� PHONE � <br /> si.>'�' ij J .. ��S�.i �L�L. l� GJ�1� ��J" �`( �-C•4)'9 <br /> � -.1 —��1 i� I�t �nn/� ..1 �.r? 2JU'� 4��L �A�t��.a�u �.Il) l 41�- -4 �1 "ti3l�i <br /> TENANT NAME I CONTACT FOR�RMI�� ���) �zj., 7 i y i ' <br /> 6pni�✓� <br /> �S o'1..^1� `-LC-� '�'Nu-� �'..(� E•MAIL <br /> C TR CTOR f'��� � ADDRESS �TY� �P N <br /> .S c �rt ,r ��•;R,�N `i� r � �Jnn�,,,� r�� �,v ���_ �a v� �`�... 2�0 -GS�'� <br /> CONTR.LICENSE# <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WO/RJC <br /> 3,n��c( /�'bw,<� �' C.� Syt ��r p�j <br /> 1�2 S (O.P N e f _Eleclric �Gas_Other �aesr�- - � <br /> I�VORKDESCRIPTION /�np�rio,�7 ac.M�cZ1 c�t r��s���vb •'LcS�°�t1c� Ur'+ '�C�' lt�Zlfu.� I`"qw,lJ <br /> (��. �,o�^� , .3 cn�l enil.ilat u...acR q.vo Nc.a 2.o�r sy gie.n /'o� en1i,Z� �'�au�. Auarl�.J �. <br /> � \ e A,e.t � Na Q:ecnuri�J.� l'.�c�, r ��„y2ni�-+-� (=".,t�-�S/ ADn <br /> � lYP�C 9� (S,J�,� S f T, �t�e.1 �k� I 1•�G <br /> ,:. .� �.:.i <br /> �� /v� Cla�t,�,<i TU f�iL.a�r.�f�}.�- S�/`rt'r C�l✓�4� W SiAGv`��5 �/(� il O.t�JZJ.a� . �� STv�J AAP.i.aA/) <br /> PLUMBING MECHANICAL <br /> N0. h'PE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handlinc� unils <br /> Bathtub � Forced air syslems <br /> Lavalory(wash basin) � Gas piping <br /> Shower Water healer <br /> �— Kilchen sink 8 disposa� � Gas fireplace <br /> � Dishwa�hcr �� Gas range <br /> Ciolhes�vashcr Clothes dryer <br /> Water healer � Ranc�e hood <br /> Sink(service/badmop/elc.) �i Exhausl tan 1'�A-!�e <br /> Back(lo�v preventer Heat pump <br /> Urinal Unit heater <br /> _ Drinking Fount:iin Boiler <br /> Floordrain Re(rigeralion Cr�^ V.fc�"` <br /> Grease lrap _ Woodstove <br /> Roof drain� Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilify that I have read and examined lhis application and know the same lo be true and correcL All provisions of laws and <br /> ordinaces goveming Ihis rype of work will be complied wilh whether speci(ied herein or nol The granting of a permil does not presume <br /> to give authorily to violale or cancel the provision o(any other slate or local law regulaling consWction or lhe pedormance ot <br /> constructio Thot m aulhorized by Ihe o�vner of this property to perform the work tor which application is made and I comply with the <br /> State ntractors La 18.27 RCW and 296.?00 WAC. <br /> ��.i1 /J/2 .>� <br /> ( <br /> Sign ture ot Owner/ContraclodAulho�ized Agenl Date <br /> ��Z <br /> �. _ - _ <br />