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!- �RMIT APPLICAT�JN <br /> CITY OF EVERETT PERMIT SEi�VIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED �ROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS ?ARCEL T/ilC I.D.# PERMIT# <br /> � Olo `� G GvE<<,� /''���� W� 02805 00 30�1o0U �Dfnbci -�31 <br /> LEGAL LOTNO. BLOCK � TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PNONE 25. oq <br /> �/ oq.p6 <br /> FVere7i' /�'tv�� O�'�'ce [�c.�l���� ��4 ,� lo�o SE �vem�i�19�� UIav�Svi�L> f�2 C-He�eff' <br /> TENANT NAME CONTACT FOR PERMIT HONE WR <br /> II �gza <br /> S�im�adf Zh G. �q�i a �nv� zo� ��8 /88� <br /> CONTRACTOR AUDRE55 CITY2IP PHONE <br /> Kir+�e�-Lo� fFSSoc.� LtG (o�o S�E�erc� �+��� W�r, Gva�e� `�25-6o9•o�bp <br /> CONTR.LIC NSE# K' r �.L�����,_ "��G ��2 0���$ — <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> O .�.�G e �F.le.ctric _Gas_Olher � JC� ��d <br /> WORK �ESCRIPTION <br /> I�T�hior �a�Ti I+oh �9�'s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fIXTURE OR ITEM NO. TYPE OF FIXTU;2E OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> I_avalory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmoN/etc.) Exhaust fan <br /> i _ Backflow preventer _ Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiier <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> i _ Roof drains _ Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> , I hereby ceriti(y that I have read and examined lhis application and know the same to be true and corr2ct. All provisions of laws and <br /> �i ordinaces governing this lype of work will be complied with whether specified herein or noL The grenting of a permit does nol presume <br /> to give au.hority to viola e or cancel the provision of any other state or local law regulatin� construction or the performance of <br /> iconstructim.That I am uthorized by the owner of this property�o perform the work for which application is made and I comply wilh the <br /> State C ntraclors aw 18.27 RCW and 296.200 WAC. <br /> 5 -��-U� <br /> Signat� re o Own ontraclor/Authorized Agent Date <br /> 1 Z, <br /> , <br />