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RESS <br />LOT N <br />Z�f <br />P�RMIT APPLIC�4TION <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 />ARE ACCE?TED FROM 8 AM 70 4 PM 1�1 °� � <br />� PARCEL TAX I.D. # PERMIT � <br />��zre7`i I-u�. (Y��-(_SIyG12vZ fG'G ��C�l �1:� <br />r�TRACiOR SUnBDIVIS1.ION il/ / <br />IYIcItYt'tllfl Ac7c�r�ib4'to�v¢Ger%UcM..?�tyv_a`f <br />J-HCi�I Lc.�, [?o. Pox �� ����ille�[.+��¢.9pz7� yzS-��o-.r�c.s _ <br />TENANT NAME CONTACT FOR �ERMII' PHONE y2f -j'7p -lS.� 2 <br />13YGGf Il2eGry4�4 E-MAILVTRZP-(iI7�;.S 7FI%�?I�%� <br />C��� +/�Vpi�'l.�dh�"� LLL, ��.((� 1%h��Ii yOi//. CITYI"LIP PHCNE <br />CONTR. LICENSE @ <br />RrRIN��93aT1= La�Gh� r,:,w�, ��Z��z ?��-3�7-� 9�� <br />USE OF BU�I.OING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />2 � ��! �hG r�, _ Ele�lric <br />X Gas _ O�her � 2 �� O� G <br />WORK DESCRIPTION <br />��C�� %� �� w` <br />/ <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />oathtub <br />Lava�ory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dish�rvasher <br />Clolha5 Washor <br />W aler healer <br />Slnk (scrvice/badmop!otc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Greaso lrap <br />Roo( drains <br />Other �-�����- r r<5 F ��'r <br />�flTh' <br />I.Y4 <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEtA <br />A/G - air handling units <br />Force�: air systems <br />Gas piping <br />N/ater healer <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />[xhaust fan <br />Heat pump <br />Unil he2ter <br />Boiler <br />Re(rigeralio� <br />Woodslove <br />CITY OF EVEREIT LOCAL SALF.S TAX CODE IS 9105 <br />I hereby ceriiify that I have read and examined Ihis application and know the same to be true and correcl. All provisions uf laws and <br />ordinaces yoverning Cnis type ot work will be complied �vilh whether soecified herein or noL The granling ol a permit does not presume <br />to give authoriry to vinlate or cancel th � provision of any �lher slal� or local la�v regulating construclion or lhe per(ormance o( <br />construclion. That I am aulhori�ed by tne owner of this proparty to perform the wnrk (or which applicalion is made and I comply with the <br />State Conlractors Law 1827 RCW and 296.200 WAC. <br />— Z I'U� <br />//� <br />,9 <br />