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� PERMIT ,4PP�ICATION <br /> CITY OF EVERETT PFRMIT SERVICES �Qz7�s. <br /> 3200 CEDAR STREET, F_VERETT, WA 98201 <br /> 425-257-8810— FAX 425-25%-8857—www.everettwa.org <br /> APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL 7AX I.D.# P�RMIT# <br /> ubC� S f� �5 5 � ,J �"� <br /> LEGAL , LOTNO. BLOCK TRACT <br /> DESC. � ^ <br /> OWN�R ADDRE55 CITYIZIP PHONE <br /> �u�iv�:tcA. 9�c+�/ <br /> �ATiru,�' ,9�-=�� /�'d/ l.��TU�}�YN�� as3•l39•����' <br /> TENANT NAME CONTACT FOR PERMIT PHOhE <br /> -7-,r{�- �/��s�' /r1 f1>v Df}•v /h�9/zTi,� �y 3 395 �SSa�s <br /> CpO�NTRACTOR ^�/�� n' /, . AODRESS/ 5o�ya��A,� CITY2IP PHONE g� <br /> /�l�d/�D /'fA/yF. r �,w �5 3 fr-�iv�r,�.q, a s3-.�s- <br /> CONTR.LICENSEp /J�nL�NJ( D.73�.1 � <br /> T7" /' <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �/�%/F_S.�}Gl ��i��1�7� —Electric _Gas_Olher �I � �� <br /> � <br /> WORK DESCRIPTION <br /> /GvS�4GL STv/.���' ��9e1rs <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Balhlub Forced 2ir syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas renge <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Backilow preventer _ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refngeration <br /> — - - --taN Woodctove <br /> Roof dra'ns Olher <br /> Other <br /> —I — — <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read ana examined ihis application and know Ihe same to be true and correcl All provisiona of laws and <br /> ordinaces goveming lhis rype of work will be complied wiUi whether specifed herein or noL The grantin�of a permit does nol presume <br /> to give aulhority to violale or cancel the pmvision ot any other stale or local law regulaling construction or the performance of <br /> construction.That I am aulhorizeo by the owner of this property to pertorm ihe work for w:�ich applicalion is made and I comply with the <br /> Slate Conlradors Law 18�7 RCW nd 29u.200 WAC. <br /> / i� �� / / (�/D.s <br /> Signa e of Own rl ontractodAuthorized Agent —��e / <br /> I <br /> L <br />