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P�r2MIT APPLICATIG�� <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STR`rET, EVERETT,WA 98201 <br /> 425-257-8810— FRX 425-257-8857—www.everettwa.org <br /> � i!� I APPLICATIONS AF�E RCCEPTED FK��M 0 AM?0 4 PM y ��c� `� 7 <br /> y <br /> SITE A DRESS PARCEL TAX I.D.# PERM�� , /_�� <br /> � ,: ' �—� (fiu�. ��043�10��11c� �0 i �1 <br /> LEGAI LOTNO. BLOCK TRhCT <br /> oesc. ` �-t (�- N 1 � _ <br /> OWNER ADDPESS CIN/ZIP PHONE <br /> �-,e�'l V�,lf �ru� �?'�1�1 ��i Ny, f�`c l�ri�tvn ���f�' �`�,�,� � � <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> ��-�U�i� �11f�� CQ( lY}'ir �'+2SF`�k, �llll <br /> CUNTRACTOR N��C�, �.�� ADORESS CITY/Z�P PHONE <br /> '2c.o 3o N� Nw e 11t��tyE�I i.�I I��.' 1. �or-�� (e <br /> CONTR.LICENSE t1 �_-��,�,(f�G1 RC(,�I��`�`�C.) �.�-�' ��y (4-ZS J (���i�C�I) <br /> ��ibYCTE �Pt��l � 9�AS3 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eledric _Gas_Olher .y:';/-1-` JJ�'� <br /> WORK DESCRIPTION <br /> �r���1lCchun v-�- � �v�, SpY �n�.(..Q,� s�,�5�� �vt <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilcl AiC-air handling unit's• ' <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal Gas f replace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/elc.) _ Exhausl(an <br /> Backllow preventer _ Heat pump <br /> Urinal Unil heater <br /> Drinkinc� Founlain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap _ Woodstove <br /> Roofdrains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> I hereby cerilify thal I have read and examined lhis application and know Ihe same to be irue and correcL All provisions of�aws and <br /> � ordin2ces governing this type ot work will be complied with whelher specif ed herein or noL The granting o(a permil does not presume <br /> ito c�ive authonty lo violale or cancel Ihe provision of any olher stale or local law regulating consWclion or lhe peAormance of <br /> const uction.Tha I am aulhurized by the owner of this properly to pedorm Ihe work tor which application is made and I comply wilh lhe <br /> Slale ontr ct rs w 1827 CW and 298200 WAC. <br /> ���1�`� <br /> ic�nalure of OwnedContractor/Aulho � ed Agenl Dalo �/ <br /> i .�. <br />