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i.. <br /> _ --- — _ ------ - — ----- ----� <br /> PERMIT APPLICA��IQ�� <br /> CITY OF EVERETT PERMIT Si�RVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org 3 — �z'""�7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Rc larcc� Pe�mit'� B[�6 I cf 'yd� <br /> SITE ADDRESS PARCEL TAX I.D.# P RMIT# <br /> f I 3 SE E�/Ei�ET7' HAI_L. WA`( � �fJc} '� C� <br /> LEGAL LQTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS CITY/ZIP PHONE <br /> ,STE/-�DFAST EVeReT'�' LL�- q3a3 �ON K�RheN. NEWPoRT$eAc�{ �G{�-852-�� �� <br /> �-r� �y�q�— <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> T�— T J. MAXX DAT�IU R S1+��8`1 �25—41�3 13�� <br /> CONTR4CTOR A�DRESS CITY/ZIP F''����•l' I <br /> So D�t�N 23a5 13c�r�+ Av� �E��uF <br /> CONTR.LICENSE# t,U�Z'� 2dXb y,�g qgq,cp�' �'Z:�` 284—�00 <br /> � � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> H�Rc_AKTII—�. Es4i�r,akd consNuciton cr�" <br /> _Eleciric �Gas_Other � �,c.��"� Z�(P <br /> WORK DESCRIPTION <br /> / / <br /> PLUMBING MECHANICAL. <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE Of FIXTURE OR ITEM <br /> � Toilet ._ A�'C—airhandlingunits <br /> Bathtub Forced air systems <br /> � Lavatory(wash basin) _ Gas piping <br /> � Shcwer Water heater <br /> T Kilchen sink&disposal Gas fireplace <br /> � Dishwasher Gas range <br /> �Goihes washer Cloihes dryer <br /> Laundry tray _ Range hood <br /> _ Sink�servicelbadmopletc.) _ Exh2ust fan <br /> Backf�o preventer Heat pump <br /> � Urinal � = Unit heater <br /> Drinking F lain Boiler <br /> _ Floor drain� _ Refrigeration <br /> � Grease trap _ Woodstove <br /> Roof drains Other <br /> � Other �T�k,! �-lop�ink _ <br /> L �4e i�ash — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriUfy that I have read and examined lhis applicalion and know ihe same to bz true and correcL All provisions of laws and <br /> ordinaces goveming this type of work wiil 6e complied with whether specified herein or noL The granling of a pertnit does not presume i <br /> I to �veaythority to violale or cancel fhe provision of any oiher state or local law regulating construction or ihe performance of <br /> c struction. That I am aut o�ized y_t4e owner of Ihis property to perform the work for which applicalion is made and I comply with the <br /> S ate Coc�tractors Law 48.2 RC and 29 200 WAC. <br /> —— �l� <br /> S � Lre of OwnedContractodAut o - Agent Date [� <br /> i / � � <br />