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� <br /> PERMiT APPl.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT, 4NA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � -0 p�D7 <br /> SITE ADDRESS PARCEL TAX I.D.# P�RM�T# <br /> /n3i5" r�/��/ !�r �55�3 •�o�1-�s-o I oS-��.� <br /> LEGA LOi NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNEfl AD�RESS CITY2IP PHONE <br /> l��u�'C,� .�t-rn���i=t jo 3/S�/��/ �'i- E��e��e t/ 98zv�� <br /> 'i EFtdNT NAME CONTACT FOR PERMIT PHONE <br /> �,/o%�, c�vnl�ki�� '��5 -308 -5903 <br /> CONTRACTOH. ADURESS CfTY21P PHONE <br /> ..)B C'nits'�7'�c e•-�7�tv� I.5%�B '77LL Sf. �� �c<KP S'�C�ff7S y.�S'3C�'J—:J���j <br /> CONTR.LICENSE# ��"z S� <br /> ..l ySt,cn1�k �/o"� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PaICE OF WORK <br /> SJ/il��t� /�C�I�i�`� �.Z�E'/1C 't- v Eleclric _Gas_Other I�-�`�7 7��• �� <br /> WORK OESCRIPTION .a �,f7�i �-�'jar0' ��j G�a./-a � '{a ��XIS"/7Y1� <br /> f-lucfi-�7�Jn d,j �3(!�N d6 �I(/irtJ S�Ee"; 0 lJ � <br /> u <br /> 5,��� ��,�t,�/y ,�s,�E,��_ <br /> � PLUMBING MECHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUflE OR ITEM <br /> Toilet _ aC-airhandlingunits <br /> 1 BathWb _ Forced air systems <br /> � Lavatory(wasli basin) Gas piping <br /> Shower Z Water heater <br /> Kitchen sink&disposal _ Gas tireplace <br /> Dishwasher Gas range <br /> � Clothes washer � Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/etc.) � Exhaust fan , <br /> Backflow proventer Heat pump <br /> Urinal � Unit heater � <br /> Drinking Fountain _ Boiler <br /> Floordrain _ Refrigeralion , <br /> � Grease trap _ Nloodstove <br /> Roof drains _ Other _ <br /> � Other — <br /> CITY:iF EVERETT LOCAL SALES TAX CO�E IS 3705 <br /> I hereby ceritrfy that I have read an�examined this applicalion and know lhe same to be true and correct All provisions o(laws and <br /> ordinaces�oveming this type of work vnll be complied with whether spe:ified herein or noL The granting of a permit does not presume <br /> to give ority to vio-ale or cancel the provision o!any olher state or local law regulating conshuction or the pedormance of <br /> construction.That I am authorized by the owner oi this property to p=rform the vrork for which application is made and I comply with the <br /> 'State Con a �tors w . RCW and 296.200 WAC. <br /> ¢ � - 0 aAn � <br /> ( Si�ure of / ntracrodAuthorized Agent ate � <br /> Z <br /> .�.�=='��r- <br /> ? q <br /> �� }.�'+� II II I I' <br /> y4 � � I ii <br />