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� <br /> PERMIT APPLICATION <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, 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 PARCEL TAX I.D.# P RMIT# <br /> 3oi c�•�.�- A�e a , o � 7 �Z <br /> LEGA lOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. �`� UO�• T PA G <br /> �D3 u I1�5 .� Acic���{ �un <br /> OWNER ADDRESS CITYIZIP PHONE <br /> o c�U� Ct-.� CGnitcc4e� � G� �UX G�(3 LuP.ef-! 2/ 3 YZS•,,97U' 71`f <br /> TENANT NAME w � � CONiACT FOR PERMIT PHONE L�ZS � �J7U- 7 Z°I�I <br /> �) I _,\ s+e.I�ar��uPer+.esiCv <br /> M(a f-�{- E-MAIL <br /> CONTRAC O . _-AD RESS CITY21 PNONE <br /> 5o�..�iv�z -- - -- _ _ p.� �3�x aoy3 t�U�++ sEzr3 v�s •8�o- �;��r � <br /> CONTR.LICENSE# <br /> Sound Cl- 951 K c�7 � '� - 0� <br /> USE OF BUILDING HEAT SOURCE CO TRACT PRICE OF WORK <br /> /�X Ccl U S 'L _Eleclric _Gas_Other �,3 SC� a e�G <br /> WORK DESCRIPTION <br /> Cc,,,St,vcT o��,'c� , S-+���gc •� a �P.arin,.�,.r5. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � <br /> Toilel . � , • A/C—air tiandlinc� unils <br /> � 6athlub Forced ai�systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher � Gas range <br /> Clolhes washer _� Clolhes dryer <br /> Waler healer Range hood <br /> Sink(service/bar/mop/elc.) �y xhaust fan <br /> BackOow preventer eal pump <br /> Urinal Unil healer <br /> Drinking Founlain Boiler <br /> F�oor drain Refrigeralion <br /> Grease lrap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> I hereby ceritify Uiat I have read and examined this application and know ihe same lo be Uue and correcL All provisions ot laws and ; <br /> ordinaces goveming lhis type of�vork will be c plied wilh whether speci(ied herein or nol.The granling o(a permit does nol presume <br /> lo give aulhoriry to violate or�cel lhe n of any other stale or local law regulating consWction or lhe performance of ' <br /> construclion.That I am�u�Gofze �t owner o(thi property lo pedorm the work for which applicalion is made and I comply with lhe <br /> StateContraclor �1�2 296.' C. <br /> /�/ // `/''�y- Lvv7 <br /> Signal r of n dCont clor/Aulhor-ed Agenl Date , , <br /> �Z <br />