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. . . c� � <br /> PERMIT APPLIGATIOIV <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 'a ��3 ��- <br /> SITE AD�RESS �"�''C.Nf ly 2n� PARCEL TAX I.D.ii PERMIT it <br /> . lh --�' !�d 12v2-o�3____ <br /> L �AL LOT NO. BL K TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE Z.e�G 77d ZI � <br /> /� �' !f G (_ • I+'� tcvc, A��, <br /> �,t�s'ro`yf � ��Sf�. E✓�-re ff e_ G�.' t� �'IQ ZO X--�---- <br /> TENANT NAME CONTACT FOR PERMIT PHONE 'Z.(�b � rY/ ZI b� <br /> ^ Te•s�c:ye TvIR sst� <br /> 8'f"�/ti�-'S Lc c C%� IK f' f"f E-MAIL <br /> CONTRACTOR ADDRESS CINIZIP PHONE <br /> CONTR.LICENSE# p w h�r <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> }�G� t� �+ �-`LiM' V �Dw��l _ElecUic _�Olher <br /> WORK DESCRIPTION ���LC t �a� � �� ��e � y�S' ��' O� ( v�o c�t r,-„�fi _ <br /> .� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUR[OR ITEM <br /> Toilet A/C-air handling units <br /> Bathtub _ Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Waler heater <br /> Kitchen sink 8 disposal _ Gas freplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clothes dryer <br /> Waler heater _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Backflow preventer _ Heatpump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap _ Woodslove <br /> Roof drains _ Olher <br /> Other <br /> CITY OF EVERGTT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined lhis applicafion and know ihe same lo be true and correcl. All provisions of laws and <br /> ordinances goveming this type of work will be complied with whether specified herein ur noL The granting of a permit does nol presume <br /> to give aulhority to violale or cancel the provision of any other slzte or iocal la�v regulatin�construclion or the performance o( I <br /> construction. That I am authorized by the own�r of lhis property to perform the work for which application is made and I comply with ihe <br /> Slate Contr/actors Law 18.27 RCW and 296.200 WAC. <br /> / �d o �fce.�rz O Z�o7��m/Z� �/ <br /> Signa�ur `mer ntradodAuthori�ed Agen! Dale � <br />