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�����J��� <br /> cf�� ::-: <br /> (NK.'m. � <br /> �" � PE�MIT APPLICAT�UN � <br />;..� ; <br /> �` CITY OF EVERETT PERMIT SERVICES <br />.'�,�� , 3200 CEDAR STREET, EVERETT, WA 9t3201 <br /> 425-257-8810- FAX 425-257-8t357 -www.everettwa.org <br />�'" l7�D"J <br />�i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �O J <br />° �� SITE ADDRESS �� PARCEL TAX I.D.# � �T# I <br /> � ��n�� — C)Ll. 1J12 ' � ���_ I <br /> LEGAL LOTNO. BLOCK TRACT <br /> '�.,'�"� DESC. <br />�� OWNER ^ �n� ADDRESS CITY/ZIP PHONE � <br /> �., <br /> �o�n�GS �izi-3So•Zct� <br /> �dzo I-�.�y r�e . ��P.�� 9��� <br />�� ��, TENANTNAME CONTACTFORPERMIT PHONE i <br /> k,��i'�;.�� I <br />� F <br /> CONTRACTOR �cv�� CJrJ�j��Vcj7Gl... ADDRESS ' �J�� S�IN.U(r� CITY2IP PHONE " <br /> � � �rn,��(�F�lIS `-Jzs ��3-2G i ( <br /> � � I <br />,,:� CONTR.LICENSEi! y��S�Z <br />�n.� a' <br /> y, . — <br />`�;;,�.:�.�. ' USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Cc✓F1��a�<<`� S(�`'�2 Electric Gas Other � <br /> ,�,.� WORKDESCRIPTION �1 �� ��„ .� P�iS�.�^i, b,.,�Ialin� — y n�Ew �V�S�r I <br /> f IF <br /> ���, � II <br /> �,s� �s <br />'�Z .'iJ <br /> ''" PLUMBING MECFiANICAL <br /> � NO. I TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM I <br />,i�ir� <br />�a. .p' Toilel _ A/C—2ir handling unils <br />.��':'�>j Balhtub Fo:cedai�systems <br /> ;.;--� � Lavalory(wash basin) _ Gas pi�ing <br />.�%�-�`�,� Shower Walcr heater <br /> ""�' '� Kitchen sink 8 disposal Gas fireplace <br /> .� .;.- _ — <br /> Dishwasher Gas ren�e <br /> .„^,,�� Clothes washer Clothes dryer <br />; _ Laundry lray _ Range hcod <br />�� Sink(serviceNarlmop/elc.) _ Exhaust fan <br /> BackOow prevenler Heel pump <br /> Urinal Unit heater <br /> Drinking ;ountain Boiler <br /> Floor drain Retrigeralion = <br /> _ Grease trap _ Woodstove �i '�'� <br /> _ Roofdrains _ Olher_ I ,t <br /> Other <br /> — — �� <br /> � �� <br /> CITY O^GVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and exami^�:d lhis opplication and know lhe same lo be We and wrrect. All provisions of lav�s and <br /> ordinaces governing this type of w:rf.�vill bc cer�plied wilh whelher specified herein or not.The c�renling of a permit does not presume <br /> to give aulhority to violale or cancel I��z provision of any other state or local law regulating construclion or lhe performance of <br /> consiruction.That I am authorized by�ne owner of lhis property lo perform the work for which application is made and I comply with the <br /> State Conlractors Law 1827 RCV�:a9r'y296.2U0 WAC. <br /> �] � ' <br /> '.r�ir ;U / 7-v�-- <br /> . Signa�of O nedContr � r/A orized Agenl Date <br /> �.: i ! I <br /> ,r��`:� — — <br /> {��� <br /> r <br /> ; <br /> �' _ _ <br /> ;.0 _ ,.. — �� <br /> �i. d a , x s. � �.4 � �. '' ; ':; �.� t S <br /> "h "x '�.'s tS9 L � <br />� � \ �i�:' � �� § -V .v x ���,'4���(�{��ya�`µ��4 S� <br /> �.4 f�r�� ., . c ���.'�,�1 �\* \Y���.� <br /> y . av � . ._ . '- `+e S-a t � � :�,�� <br /> +1, �4X y� r �' � t ".r � � ,.. � }�. .H����.��Yrc��.ii* �J.�mY'�nk� <br /> a,_ a ++� ...'.ar'_.r=�4"�Y��:...��L z�" Ha. _{!'ti._a�y�\.,.�{r��a��i <br /> � <br />