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' PE�MIT APPL��ATION z;� �� <br /> �� CITY OF EVERETT PERMIT SER4'ICES <br /> 3200 CEJAR STREET, EVERETT, WA 98201 I <br /> I 425-257-8810 — FAX 425-257-8857—www.everettwa.org <br /> i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � —J�� -`'�� <br /> I SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � I�i�, E�� - ��, «_ . � i„ mo8 i a-vs7 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE i <br /> ��f'�otE1� �Dlv ;�r_nr;7 ����� lJn.� ���,��T i <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR �j�2i� yl��,�il�}I�,��.� ,.�Nc, ADDl:ESS CITY2IP PHONE <br /> 9b3o �S3c,�,�vt A�° �a�w�v��9q�Z �y25)kQr�-7Zzy <br /> CJMTR.LICENSE il <br /> r'E1L,r�� 11�� cv+� _ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ����,�G,� _Electric _Gas__Olhe�� �y ��GL <br /> f <br /> WORK DESCRIPTION <br /> �L'.WL-NTC '7 GY'�T��vu; Sl�t/ALy niF/H�E,=Y 4ADD Z NEW S��/hy 1�F,6�,1C,�i. <br /> PLUMBING � MECHANlCAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tope� A/C–air handling units <br /> Bathtub Forced zir systems <br /> Lavalory(wash basin) _ Gas pipiny <br /> Shower _ Water heater <br /> Kilchen sink&disposal Gas freplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> _ Laun'ry tray _ Range hood II <br /> Sink(service/badmop/etc.) Exhaust�an <br /> Backllow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> � Grease trap Woodstove <br /> = Roofdrains — I � Other Dn�r h1on���ut'ri�,J. <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 i <br /> I hereby ceritify thal I have read and examined this application and know Ihe same lo be true and correcl. All provisions of laws and <br /> ordinaces governing lhis lype o�woik will be complied with whether specifed hzrein or nol.The granting of a permit does nol presume <br /> to give aulhorily to violate or cancel Ihe provision of any other;tale or local law regulating construction or the periormance of <br /> consiruction. "fhal I am authorized by the owner ot this property to perform ihe work(or which applicalion is made and I comply wilh lhe <br /> Sta�e Contractors Law 18.27 RC and 296.200 WAC. <br /> `�� ��� �11��\�� <br /> Si nat�re ot Owned o ractor ut onzed Agent I at�— � <br />