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r ` <br /> PE'i .I�IT APPLICATIOi� <br /> CITY OF E.VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8814- FAX 425-257-8857-www.everettwa.org <br /> APPLICATI�NS ARE ACGEPTED FROM 8 AM TO 4 PM oL -�.�j—D�j <br /> SITE ADDRESS �ARCEL TAX I.D.# PERMIT# I <br /> 3210 �.o,M�a�� � �L13ao- 7W-�� -bo �' �'�� -�' � <br /> LEGAL LOT NO. BLOCK 7RACT <br /> DESC. �/i2S ��-k" �VT LANb CU 1ST ���� <br /> OWNER ADDRESS CITY2t� PHONE <br /> N ELIo V'�iv-Cu�2ES LL� Iq 1 lb �'� {�v� �J�, {{.�,,.,,�}.r,n R82z-3 �Zo6�z3s-lotZ <br /> TENANT NAME CONTACT FOR PERMIT V PHONE <br /> Nl� <br /> CONTRACTOR ADDRESS CITYlLiP PHONE <br /> IZ'fRN DIANF}{LM CONS'� LLG NI/kR`(S4VILLE W�}� �Zo6��9-b� <br /> CONTR. LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SZ.'�S1�L'�l��L- �( Electric _Gas_Other �Zg DOd <br /> WORK DESCRIPTION1 I <br /> .L1�1-�'-�r:aY V'QJ✓�OQp,.I <br /> PLlJMBIfJG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced 2ir systems <br /> � Lavalory(wasn basin) Gas piping <br /> � Shower � Water healer�¢j¢d�c, <br /> Kilchen sink 8 disposal Gas fireplace <br /> I Dishwasher Gas range <br /> ! C!::thes washer � Clolhes dryer <br /> Laundry tray � Range hood <br /> Sink (service/badmop/elc.) � Exhaust fan <br /> Backflow preventer Heal pump <br /> � �Jrinal � Unithealer �v�'u`� ��ce�'�ic. �}yT) <br /> Drinking Fountain Boiler <br /> Floor drain Refric�eralion <br /> Grease trap Woodstove <br /> Roo(drains Other <br /> Olher __ <br /> � CITY OP EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilify lhat I have read and examined this application and know lhe same to be true and'correct. All provisions o(laws and <br /> ordinaces goveming this lype of work will be complied with whalher specified herein or noL The granlir,g o(a permit does nol presume <br /> to give aulhority lo violate or cancel the provision of any other slale or tocal law regulating construction or lhe performance of <br /> construcli�.That I am aw`�orized by Ihe owner of this property to perform the work for which application is made and I comply wilh lhe <br /> Slate Co Craclors Law 18.27 RCW and 296.200 WAC. <br /> . <br /> — zazp� <br /> Sign e of Owner onlractor/Authorized Agent ale <br />