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!� cRMI�' APPLICATiJN <br /> CITY OF EVERETT PERMfT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> A?PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMfT# ; <br /> E e I�b28 -0 3- y -00-OZ /' ` ;��. - -:% -- <br /> LEGAL LOTNO. BLOCK TRACT <br /> oesc. SE�St�E�'r1.0 <br /> OWNER ADDRESS CITY/ZIP PHONE (,{ZS_ <br /> MuK11ie�, `�2� 315-OFo7 <br /> C�O C'ol�'�er5 '�r�rn�ov�I GSCb Harbn�r (�e��l�+s AarK�,a�fS+c•3Cn <br /> TENANT NHME CONTACT FOR PERMIT oHONE <br /> C��y Uh'��iersi l-v Apri l Fi I� Qa� uz5 -�7v - C�70�o <br /> CONTRACTOR �`� �/ ADDRES/S CITY2IP PHONE <br /> � �2Y���f' �v�v G ��i'cx� . <br /> CONTR.LICENSE t! (O � _ <br /> �-5 � - � �li� �u�r� 75?.rJ <br /> C SE OFrB,UILDINC��� 'J�0.�O� HEAT SOURCE � CONTRACT PRICE OF WORK <br /> 6yOF,�C.e.. � �u — — --- I�, GrjO <br /> Electric Gas Other <br /> WORK DESGRIPT'ION <br /> rni nor i n�let-ior d�,mo I �fi on, r�.w i v►�+e.r�or par�i-hons, �u.�, d ao� , vtuv <br /> Y�2!i�25 . EXis�i ng-tcala.s�i- 2x►�a.+'►S�o� . <br /> PLUIVIBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower VVater heater <br /> Kitchen sink&disposal Gas freplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> � BackOow preventer Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CI7Y OF EVERETT LOCAL SALES SAX CO�E IS 3105 <br /> ii <br /> n , <br /> . I hereby cerilify lhat I have read and examined this applica�ion and know the same to be true and correct. All provisions of laws and <br /> � ', ordinaces governing this type of work will be complied with whether specified herein or noL The granting of a permit does not presume <br /> to give authonry to violate or cancel the provision of any olher state or local law regulaling construction or the performance of <br /> � construction.That I am authorized by lhe owner of this propeAy to perform the work for which application is made and I comply with lhe <br /> ' Slate o�lractors L 18.27 RCW and 296.200 WAC. <br /> �/✓S�JL����l��-1�=7i � ����� <br /> Signa ur�of Owne o tra, orlA'uth riz d Agent ate �Z <br />