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�Er2MIT APPLICATIO�� <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 ��` Z`�� <br /> SITE ADDRESS Seu{� Nec�� PARCEL TAX I.D.# PERMIT# <br /> 12�� Sv�J.�s��Y ST C31�. c 28oy�D2o�4vZ�-I �[.l��� �� <br /> LEGAL LOTN1O. BLOCK TRACT /� I <br /> DESC. p � SP4t..G.y l..-.t« . <br /> OWNER ADDRESS CINIZIP PHONE <br /> P�nv���c'1rov�1 nGue�DPu-o�1- Il-,yoo So,�.�a� (,:�u.. /� J�W `�1�� ?oG 2t/8 o2YZ <br /> TENANT N'nrvii CONTACT FOR PERMIT PHONE <br /> C-�/ l�o�.��. s��c � �u �� I���� J���Lylr UZf 89s- �7 <br /> CONTRACTUR ADDRESS CITYIZIP PHONE <br /> A// l�hNse ��i,m5i.^r • 233/6 NE.�..�Kao� �--�// �.�y,� .�n�iroa,.-� r.✓/i 9d'of3 <br /> CONTR.LICENSE# <br /> �iGLQH/�T/o2M0 �/2� B93-/o� 7 <br /> USE OF f3UILDING HEAT SOURCE CONTRAL7 pRICE OF WORK <br /> ��,�Q��� / o��� _Electric _Gas_Other 3�000 <br /> WORK DESCRIPTION <br /> J lC �G� .�� ac �Gi� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIX7URE OR I�EM <br /> �-i Toilel FVC-air handling unils <br /> 9alhtub Porced air sys�ems <br /> 3 Lavalory(wash basin) Gas piping <br /> Shower Waten c�aler <br /> I h:it,:hen sink&disposal Gas(ireplace <br /> .� Dishwasher Gas range <br /> � C�olhes washer Clolhes dryer <br /> % Waler healer Range hood <br /> _f_ Sink(servicePoar/mop/elc.) _ Ezhausl fan <br /> Backflow prevenler Heat pump <br /> 2 Urinal Unit heater <br /> Drinkinc� Fountain Boiler <br /> 2 Floor drain Re(rigeralion <br /> Grease lrap Woodslove <br /> F Root drain, Other __ <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cerili(y ihat I have read and examined this application and know Ihe same to be irue and correcL All provisions of laws and <br /> ordinaces govarning lhis type of work will be complied wilh whe;her speci(ied herein or noL The granting of a permil does not presume <br /> �o give authority lo violate or cancel the provision of any olher stale or local law rec�ulating conslniclion or lhe peiiormance of <br /> construction.1'hat I am aulhorized b} ihe owner ot this propeAy lo perform the work for which appliraticn is made and I comply with the <br /> Sfale Contraclors Law 18.27 RCW and 296200 WAC. <br /> � ,l/� e �-�--z �-Z.o6 <br /> Signalure of Ow r/ConUactodAuthorized Agent Date <br /> � ---i----�- - .____.__ <br />