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- PERMIT APPLIG.4TION <br /> CITY OF EVERETT PERMIT 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 7 �. a3 � Q� <br /> SRE ADDRESS PApCEL TAX I.O.# PERA7fT M <br /> ILlOZ SC- E'vE�eL=7T MPe� �.in- �� .�l_:� J.. <br /> LEGA LOTNO. OLOCK TRACTORSUBDIVISION# <br /> DESC. <br /> OWNER ADDflE,"iS CfTY21P PHO4E <br /> � �1 M R"�Cx f�fUc rLUG-�L'T'T' l'7/1�C[, wA 'Y G-vE-CL'iY <br /> TENANTNAME I CONTACTFORPERMR PHONE ZU(n - -7C,L - Z314 <br /> T� J�+�A�,F�?r N1C� L.�iIS-y EMAILnie.� E rIPrnSV�7ee..�fo�i...J' <br /> NTRA R U E CIN21P PI10NE �o.n <br /> �I�-Cr`I $L�-7v .� A�rtl•!f�(�- GG,(iG 4'¢5ui� Gi'S. s`C�°fTRt ZuC. 7l,L231Y <br /> CONTR.LICENSE A <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> r'� <br /> �E����- Eleclric _Gas_Other � 'rjG;QQ <br /> WORK DESCRIPTION <br /> lK%��l i.�. -i'l.v�U SG'3 G1�+sf-n-�ti.rC-c. L L.-�rVT-C V��-L �i L,v-� <br /> 11�.'�5(��L -��CG S ll�IULG ._ (-�A CL Ci;i;Mt.,•.,_ — MO�J�i (� C�1G3�As£�- 5:��-': <br /> PLUMBING MECHANiCeL <br /> NO. TYPE OF Fl%iURE OR REM Np. TYPE OF Fl7CTURE OR ITEM <br /> Toilet NC-air hancDing units <br /> _ �athtub Forcedairsystems <br /> _ Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> _ Kitchen sink&disposal Gas lireplace <br /> _ Dishwasher •, Gas range <br /> _ Clothes washer Clothes dryer <br /> _ Waler heater Range hood <br /> _ Sink(serviceibadmop/otc.) Exhaust fan <br /> _ Backllow prevenler Heat pump <br /> Unnal Uui[nealer <br /> Drinking Fountain Bailer <br /> _ Floordrain Relrigeralion <br /> __ Grease trap Woodstove <br /> __ Roof drains Other S��-'"'^�'S <br /> Olher -- <br /> CfTY OF EVERETT LOCAL gALES TAX COUE IS 3105 <br /> I hereby centify Ihat I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinacos governing ihi,typa ol work will be complied with whether specilied herein or noL The grenting ol a permit does not presume <br /> to givo authority to violate or tancel ihe provisian of any other state or local law regulating construction or the performance of <br /> conslruction.That I am au�horized by the owner ot�his property to per(orm the work for which applicabon is made and I comply wi�h ihe <br /> Stale Contracrors Law 18.27 RCW and 296.200 WAC. <br /> �JG.iI (~��Z_�C-��1-� �L�Z-2lCJ"1 <br /> Signatur6,¢I Owner/ConlractodAuthonzed/lgent Date <br /> �l�/ <br />