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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-3857 - www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />3� SE Cif rvs�_ � yL_Z_ g �_ 5_l__8_00 3 o3� b <br />LEGAL LOT NO. II�� (Iy BLOCK TRACT OR SUBDIVISION n OF a C <br />DESC.� jCGT IYl I'N'I Z� RCZI: L-O T ZOr- I? C - VOL- I <br />OWNER ADDRESS CITYIZIP PHONE I I �A IIp <br />31-' I-L-C Z LNJ La c -r A v ro N14r c <br />TENANT NAME CONTACT FOR PERMIT PION <br />(2—L16 ze� 3�- <br />FAjt(L4 <br />B (LL 4,0 <br />/{FEI{C9_ Co S� R✓L7 <br />CONTR. LICENSE it A p W C) -7-1 1) /, <br />USE OF BUILDING <br />tz-qr, LJTW,) R-uvv'T <br />JR S D7`317�% <br />HEATSOURCE <br />3�-7 <br />CONTRACT PRICE OF WORK <br />_ Electric _ Gas _ Other I -� `L1q I <br />WORK DESCRIPTION <br />p(.4 ,/,ot-f <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />NC - air handling units <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />_ <br />_ <br />_ <br />__ <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />Water heater <br />Sink (servicelbartmop/etc) <br />BackOow preventer <br />Urinal <br />Drinking Fountain <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />_ <br />_ <br />_ <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />Woodstove <br />Other. <br />_ <br />_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3te5 <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regidaling construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18 27 RCW and 296.200 WAC. <br />(Date 13 '/Z <br />