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� - <br /> PERMIT APPLICATIOM <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVERETT, VUA 98201 • ' <br /> 425-257-8810 —FAX 425-257-8657—www.everettwa.org <br /> IAPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS / 7�Z S� PF.RCEL TAX I.D.# PERMIT# <br /> E�En�TT /LIA�c w,Q�/ _ <br /> LEGAi LOT NO. BLOCK TRACT � <br /> DESC. � <br /> OWNER ADDRE55 �G���7� PHONE <br /> ST��91JF.�15"J .;,, 2'�// SGv /��/ �°!� �-_t�r'L� ��� `?`�9 �s�o��o <br /> , <br /> TENANTNAME CONTACTFORPERMIT � PHONE � <br /> r�=���- j��v�� � :��>�<« ��n,�Gv�r�� yas�7 ��5� � <br /> CONTRACTOR �lv'7�DG') %=�, /�ADQRESS � L ;v� CINIZIP PHONE � � <br /> ///777 !l/' �/� � �cnNv yG�S ��`� 96,�� <br /> CONTR.LICENSE# ��/'f�{�///T�/�, / ' <br /> --�.V r (//V(N . � <br /> i <br /> USE OF BI�ILDING HEAT SOURCE CONTRACT PRICE OF WORK .i <br /> f�,�/�L'/J,(IT/� �� _Eledric _Gas_Other `T6� //���/v � � <br /> WORK OESCRIPTION <br /> ���� � �,1�-- � r�_ <br /> PLUMBING 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 Waterhealer , <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range . <br /> Clothes washer Clolhes dryer <br /> Laundry lray Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> / BackFlowpreventer Heatpump � <br /> _ Urinal Unit heater I <br /> Drinking Fountain [3oiler ; <br /> Floor drain Refngeration I, <br /> _ Grease!rap Wor.dstove ' <br /> _ Roofdrains �— Olher FlfP� SPRl1/K�P12 I <br /> Other <br /> � CITY OF EVERETT LOCAL SALES TAX COD'c IS 3105 � <br /> I I hereby ceritify that I have read and examined this application and know�he same lo be irue and correcL All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authoriry to violale or cancel ihe provision of any other state or local law regulating construction or the pedormance of <br /> construction.That I am authorized by lhe owner of'his property lo perform the w�rk for which application is made and I comply with the <br /> State Contrzctors Law 18.27 RCW and 296200 WAC. <br /> � �G-�� S `"� S <br /> � ^ <br /> �, 6ig atu� wner�cio/Autt e�y d Agent D e . �� <br /> / <br />