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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl-f, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM �J � f � �O � <br /> SITE ADDRESS PARCEL TAX I.D.# P,ERMIT N <br /> l`CUL �Ec� �vFR�-fi1f, �' /i�`� —�� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DcSC. <br /> OWNER AD�RE55 CITY2IP PHONE <br /> Ghl�'�It'w� �rNosi=4cP lKoz. N�-4-A��'� --�'�„���, u.� . zsy-)zso <br /> � TENANT NAME CONTACY FOR PERMIT PHONE <br /> / <br /> CONTRACTOR �J�L��{/ �,��z��� ���C ADDRESS , ,,I/�--/7 CITY2IP PHONE <br /> � 1 3 jUZ ��1-�C��/`- -�i�� ]��' 7 Z.)U <br /> CONTR.LICENSE# �. /j�.'`f� <br /> il (` <br /> > <br /> USE OF 6UILDING HEAT SOU E CONTRACT PRICE OF WORK <br /> G�{2-���Cl/5 TU�I�Gi� I _Electric _Gas_Other � 2�UC+O �"'/�J��/ <br /> (O <br /> WORKDESCRIPTION �µS�ZU�G� G'r' ('{- Z y�X Z �F� L�-P�T �'-'ME SNT'7 - <br /> C��a7 IZ'x 24 � <br /> � Z�� 2�� <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ A/C—airhandlinc�units <br /> Balhlub Forced air systems <br /> Lavalory(wash basin) _ Gas pipin� <br /> Shower NJaler healer <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range j� <br /> Cbthes washer Clolhes drycr <br /> Waler heater Rangc hood <br /> = Sink(service/bar/mop/elcJ/ � _ Exhauslfa❑ <br /> Backflow preventer _ Heal pump <br /> Urinal __ Unit heator <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Greaso lrap _ Woodslove <br /> Roofdrains Other <br /> Olhar <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 I <br /> I hereby cerili(y lhat I have read and examined Ihis applicalion and know lhe samo to bo true and corrcel. All provisions of laws and I <br /> ordinaces governing this typo of work will br,complied with whether specifiod herein or noL Tho granting ol a permil does not presumc <br /> �o give authonry W violate or cancel the provision of any olher stale or local Iaw regulaling construction or tho paAormanco of <br /> conslructian.That I am authorized by tho ownor o(lhis property to perform lho work for which applicalion is made and 1 comply wilh thc <br /> Sta n rac w 18��RC and 29�.200 WAC. <br /> / '7�`,3G-G� <br /> SignaWre of Owner/ ontractodAulhonzed Agenl Date �/ <br /> �— <br /> � . _ . _ - - - --- . ._--- — — - -- - _ _ ._. <br />