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� <br /> _ -- --� <br /> PERMIT APPLICATION <br /> CITY OF EVEr2ETT PERMIT SERVICES <br /> 3200 CEDAF. STREET, EVERETT, WA 93201 <br /> 425-257-8810 - F��X 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> I <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> ��OC%.r? I'I��' �VE� �� i�U�''1 - V�� <br /> LEGA� LOT NO. BLOCK TRACT OR SUBDIVISION K <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> Stl; �y M,n�z�N — <br /> TENANT NAME CONTACT FOR PERMIT Ph27NE <br /> E-MAIL <br /> CONTRACTOR ADDRES C TYIZI� PHONE <br /> c2u���-�-�; tzca�rti�°� � c� r�x 252F; ��Ee�rr ��Z�-355.�''��1� <br /> CONTft.LIC[NSEp /pI � I��lr7 2�, �?jK C�I� � Z-'�� ��}"' � <br /> (�l.v 1 �c� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> )�i--K _Electric _Gas_Other <br /> WORK DESCftIPTION `��2 CT✓F� IZIDOF-, 1zE-S N C—ET y`L �� C UX nLV�UOO . L <br /> L�r�tr��� : zEec�� �o ��rl �c��n �N �,��?�c-S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-�ir handling unds <br /> k3ath�ub _ Forc�d air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas�ireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(servic�/bar/mop/etc.) _ Exhausl fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit tieater <br /> Drinking Fountain _ Boiler <br /> IFloor drain _ Re(rigeralion <br /> � Grease trap _ Woodstove <br /> ' Roof drains _ Olher <br /> O�her PI=1"'d''l�� — <br /> — I <br /> CITY OF EVERETf LOCAL SALES TP.%CODE IS 9105 <br /> i hereby certify lhat I have read ann examined this applicalion and know lhe same to be true and correct. .411 provisions of laws and <br /> ordinances goveming ihis�ype of�vork�vill be complied with whelher specified herein or not.The granting uf a permil does not presume <br /> to aive authoriN to violate or cancel Ihe provi;ion of any other state or local law regulating consWction or Ihe pertormance of <br /> conslruciion. Tlial I am authorized by the owner o(this property lo per(orm Ihe work for which application is made and I c�mply with Ihe <br /> Sta�e�U,a\ctors Law 1827 RC jand 296200 WAC. <br /> _._�L � � � >�' ����/L' <br /> Signature of Owner/Contractod lhorized Agent ' ��� <br /> 1 <br />