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�--- -- — -- --- --- <br /> � PERIVIIT APPLICATIC'�[d <br /> � CITY �F EVERET7 PERIIf11T SEF:VI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881 Q-•FAX d25-257-8857-w,�vw.evetettwa.org <br /> APPLICATIONS ARE ACCF.PTED FP.OM 8 AM TO 4 PM � �. S f(� <br /> SITE AODRESS ARCEL TAX I.D.# PERMIT# <br /> oq D Hou. D E��L- Baoy 53 - ocx� - 003- ov0�( � 1 vo r - v�'/ <br /> LEGA LOT NO. BLOCK TRACf OR SUBOIVISION it <br /> oesc. 3 OdO-D-aD �AINL Fl� Z <br /> OWNER A��RESS CITY2IP PHONE <br /> �(2S"-ZSS-N(a 2. <br /> Cyou��/r,�U� �adP�12Ti�s �-LG 181Z RiAGKt`K�VE �v�z�� y���'! <br /> TENANTNAME CONTAC7FCRPERMIT PHONE t,��_Z6a�-�(yLlf <br /> ANN�'7T�NRWOkoN _---____ _--- <br /> N�F� -Nort - R�s�nt�n,n� ANN� E Go�,OF�NCWBRts�°4"e�-ma�� <br /> CO�} AOOR�SS ITY2ip H NE <br /> �tx.AFlhlGK �l�s ZSl2 �'L�AGKb"1� L-VL-7LE7'r wp y¢�Zp�( �{2S"-ZSB-4l� <br /> CONTR.LICENSE p <br /> Go1.PF�� 3u(��o <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Mp�_�p _Electric _Gas_Olher �/� � ,2,0�� Of� " <br /> WORK DESCRIPTION . , . _ ,_ . . <br /> kQFxNo►v oF �2� 6u,t�Gl�� rnOGk-t�Ps <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathtub Forced air systems <br /> u Lavatory(wash baain) Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposai Gas fireplace <br /> Oishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Wat2r heater Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br />� Backtlow prevenler Heat pump <br /> Urinal Unil heater <br /> I _ Drinking Founlaln _ Boiier <br /> Floor drain Refrigeration <br /> _ Grease trap ( Woodstove <br /> _ Roof drains I\� � _ Other <br /> Other � <br /> C�'Y OF EVERETT LOCAL SALES TA%CODE IS 7705 <br /> I hereby certify thal I nave read and examined this application and know lhe same to be Irue and wrtetL :+ii provisions of laws and <br /> ordinances 9oveming this type ot Kbrk will 6e complied with whether specified herein or noL The granting of a pertni!does not presume <br /> lo givz aulhority to violate or cancel Ih provision ot any other slale or local law regulating cons Wction or the performance of <br /> construclion.That I am authonzed �t e owner of ihis property lo perfortn the work for which applicalion is made and I comply with lhe <br /> Stat CoNr dq[b Law iD.27 RCW a 296.200 WAG. � <br /> , ,� . /', 0 • l 7 / �7 <br /> � ature ot OwnerlContrecto Authon d A ent Date <br /> � � <br /> �1 ��'�P��iL� JYDi,��1E L <br />