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i --- I <br /> PE�ZMIT APPLICATIOi� � <br /> CITY OF EVERETT PERMIT SERVICES � <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810– FAX 425-257-8857–www.everettwa.org �///_C��_ I <br /> 7 i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - �EBIT& CREDIT CARDS ARE NOT ACCEPTED I <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT� � <br /> i ( �`i ��Ui /��e � ,� �� � <br /> LEGA LOTNO. BLOCK TRACT <br /> []ESC. <br /> 01YNER AOORE55 CITY2IP PHONE <br /> Gr�en �-Pe � � i�� ��yz �v� E�e�.err ��szd, (az>> ��>� -o�r.�i <br /> TENANT NAME NTACT FOR PERMIT PHONE <br /> �V D N e ��'/1�C� C.��1L���� <br /> CONTRACTOR ADORESS CITY2IP PHONE <br /> CONTR.LICENSE# fj��i��(,�� <br /> L <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> / �Zed�c�i✓ �JT�r <br /> s+•,��/p �2n.,ily C�wP�'^�� _Electric �Gas�Other <br /> WORK DESCRIPTION L�V/N(,� Sp�� Z 7Z S,F <br /> 1�1 1 .. (J��J� �-U+ � <br /> � !i f/. l�v;� <br /> Sv 12von�i ���.sXzo) IqOS.F j <br /> PLUMBI�G MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 2 Toilet A/C—airnandlingunits <br /> � __(_ Bathtu6 Forced air systems <br /> I2 Lavatory(wash basin) 'L 'J�� Gas piping <br /> � Shower � Water heater <br /> r Kitchen sink&disposal _ Gas fireplace <br /> i Dishwasher � Gasrcnne <br /> ! � Clothes washer y Cioth.:s dryer <br /> I Laundry hay i Range hood <br /> � Sink (service/bar/mop/etc.) � Exhaust fan <br /> � Backflow preventer Heat pump <br /> Urinal Unit heater <br /> � Drinking Fountain � Boiler <br /> i % Floor drain � Re(rigeration <br /> Grease trap Woodstove <br /> � Roof drains Other <br /> Other .l Rd iP nir e2r n� �i.�'y r�`"`' /�°Or5 <br /> — – � Rad:d.vr �itrr Pu�+P � <br /> �� CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 <br /> I hereby cerit�(y that I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this ryp of work will be c mplied with whether specified herein or not. The granting of a permit does not presume <br /> to give authonty to vi I cancel the on o ny other state or local Izw regulating construction or the performance of <br /> construction.Tha uthorized he + his property tn perform the work for which application is made and I comply with the <br /> State Con�ra v 1827 a .2 WAC. <br /> / ;j <br /> Si ature of ner/Cor+.ra r/Autho d Agent Date <br /> �2 I <br />