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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �O'�U�v'-L�(�� i <br /> SITE ADDRESS PARCEL TAX I.D.# PERMI # -C l� I <br /> �c �zc �l��yi ��. ��° � <br /> L E G A L L O T N O. B LOCH TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADORESS CITYIZIP PHONE <br /> ��r�'c'�r'F CP�'L Y� F! ti�� l��°�� �/t' Y T ����,/��� <br /> TENANT NAME CONTACT FOR PERMIT PHONE .f Z S� Q� -�-�3 � <br /> GCIF- y"��� �y E•MAIL Yr_c��c��i. c.ccc-M �� <br /> CONTRACTOR ADDRESS CITY2IP PHONE � <br /> ��Ck-� .F-�( CC�n1>7Kti'�T7c"UL� 'ZjZ21 I`�� I�L �ti' 9b'C�( �{LT'444 a436 � <br /> CONTR.LICENSE# �,i9 � �� � <br /> �rcKLCT <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE Of WORK <br /> �r��-r�r7�,-�—� S V�U �?£%OW1 _Eleclric _Gas_Olher �3 0� o�' c�, or <br /> WORK DESCRIPTION <br /> �Ic��Lf� '[�C I j f I f+v^ ��'�7'i 4i�� <br /> r��,«Y� NQ��� s�no-�� Svti�c?o,��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ A/C-air handling unils <br /> Bathlub _ Forced air systems <br /> _ Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal l>C Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clolhes dryer <br /> Water heater _ Range haod <br /> Sink(serviceNar/mop/etc.) _ Exhaust fan <br /> Back(low prevenler _ Heat pump <br /> Urinal _ Unit healer <br /> Drinking Founlain _ Boiler <br /> Floor drain _ Re(rigeralion <br /> Grease trap _ Woodstove <br /> Roof drains ,_ Olher <br /> Olher — <br /> I — <br /> CITY OF EVERETT LOCAI.SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat 1 have read and examined lhis 2pplicalion and know the sama lo be true and wrrecl All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whether specitied herein or noL The granting of a permit does not presume <br /> to 9ive aulhority lo violale or cancel lhe provision of any olher slate or local law reyulating consiruclion or the pedormance oi <br /> � conslruction.Thal I am authorized by the owner of this property to perform lhe�vork for which application is made and I comply with lhe <br /> Slale Contractam Lmv 18.27 RC!^.� �a�?9�.2np�n�.vc, <br /> �(/�� � / �� �9�%';.�' � <br /> i% .�C ���/�.'C.;C�L� �iC <br /> SiynaWre o(()wne't/Conhactor/Aulhorized Agenl �a1e � I v I <br /> � <br />