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P�RMIT APPLfCATlOIV <br /> CITY OF EVERETT PERMlT 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 _ I <br /> SITE ADDRESS . I PARCEL TAX I.D.# PERMIT# <br /> 5�� re p:;u3 c�Z'i�.l <br /> Io�� 5� G-�e��� M41� wo� 20�� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. I <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> C � ' ��io se E�,.��ffM711 WwY q �uRC�E �20� 618 �8� <br /> ��e��µ Myl� o��,�,, 6��I�i,n� �� le ��z _ <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> P s y, I E•MAIL <br /> CONTRAG TOR ADDRESS � CITYIZIP PHONE � <br /> {��r�le _ Cal� �ssGc. iolo s� G��f��%'v�l w�,� �<<ca�,Nw� ��6 61€ <br /> CONTR.LIC�SE# r 5�;�,� fo� °�ci�,O�y `� �8� <br /> KIRT! ���7�jjr <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PR�.^.E OF WORK <br /> � �'�,;.�� _ElecUic _Gas_Other I �� �QCf _ __ <br /> WORK DESCRIPTION <br /> iY<:✓ �9�� �iVi�in�- SP9cC�_ <br /> .� / <br /> i7oot ,� w,ndov/ <br /> PLUMBING MECHANICAL <br /> N0. TYP[OF FIXTURE OP.ITEM NO. TYPE OF f!%TURE OR ITEM <br /> Toilel _ A/C–air handling unils <br /> Bathtub Forced air syslems <br /> Lavalory(wash basin) _ Gas pip�ng <br /> Shower _ Waterheater <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Waler healer Range hood <br />' Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal __ Unil healer <br /> Drinking Fountain , __ Bo;ler <br /> Floor drain Re(rigeralion <br /> � Grease lrap _ Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify Ihat I have read and examined lhis application and know the same to be true and correcL All provisiens of laws and <br /> ordinaces governing this type of work will be complied�vith whether specified herein or noL The granting of a permil does not presume <br /> lo give authoriiy to violale or cancal the provision of any other state or local law regulating construction or lhe performance of <br /> conslruct�on. Thal I am authorized by the ownur of this property to perfonn the v+ork for which application is made and I comply with ihe <br /> S�ale Contractors Law 18.27 RCW and 296.200 WAC. <br /> 3-� y— 2 <br /> p"L r� <br /> SignaWre of OwnedConlraclodAulhonzed A9ent Dole <br /> — ----- � —----�---�— ---� � � . <br />