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PERMIT APPLlCATION I <br /> C17Y OF EV�p.ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICAYIONS ARE ACCEPTED FRUM 8 AM TO 4 PM - DEBIT S CREDIT CARDS ARE NOT ACCEPTED <br /> 31TE ADDRESS ��� ��W PARCEL TAX I.D.# PERNIT# <br /> I�D iN0�s7RY st s�e lo0 9�zu� '.��.c� ��" <br /> LEGA LOTNO. BLOCK TRACT <br /> DFSC. <br /> OWNER ADDRESS Cf7Y/LP P"Zo6-396-9z6.� <br /> GVA� kiAD�R mR�7�l�Wf san IOSt" RVE �lE s-K z44D BPLGEUNE WA Fjc ¢zS-�911-OILS � <br /> TENANTNAM'e CUNTACTFORPERMIT PHONE <br /> GRE�T CITIt� BOX GaMPAn1Y �1�Y50N GEu,I 253-�'0�-O¢D� <br /> cor,rna�roR �En�R ��y�yNG �NL• ADbRESS CIT'21P PHONE <br /> M� Wes7Vl��t�qy�HwYS• Pl��zs�- �Of-040� <br /> CONTR.UCENSE#G�PARRY•g0�LA1 PR'Ur��� lN� J�G'9"7 �/�ZJr����—zJ��z <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> w�RE HousE S ""'' _ElecLic _Gas_Other $ 5"2 OT• �7 <br /> WORK DESCRIPTION �SS�/}1BG�� I�STR'GL� � /f'N�ND�Q � B��S OF �/}LCE7 �/�LK J 2 ' W�OE <br /> x 9-1"p��P�c I6 ' ?14G� , <br /> N/� PLUMBING �J�� MECHANICAL <br /> NO. TYPE OF FIX?URE OR ITEM NO. NPE OF FIxTURE OR 17EM <br /> Toilet AIC—air handling units <br /> Batlitub Porced air sys�ms <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal _ Gas firaplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(servicelbar/mopletc.) _ Exhausttan <br /> Backflow preventor _ Heat pump <br /> Unnal Unit neater <br /> Dnnking Fountain _ Boilar <br /> Floor drain Refrigera6on <br /> Grease trap _ Woodstove <br /> Roof drains Ofher <br /> Other <br /> CITY OF EVERETTLOCAL SALES TAX COCE IS 3105 <br /> I horeby ceritify that I have read and examined this appliwtion and know ths sama tu be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be compUnd wdh wheffier specified herein or not The granting of a permit doas not prawme <br /> to give authoriry to violate or cancel the provision of any other stata or local law regulatlng construction or the paAormance ot <br /> wnstruclion.That I am authonzed by the ovmer oF ihis property to pertorm the work for which applicafion is made and I comply wAh the <br /> Slate C tractors Law 7827 RCW and 296200 WAC. <br /> '�����°G�i, z—I�S <br /> i of �merlContractorlAuttiorized Agent ate <br /> `-- -------- --- -- --- <br /> �I-� <br />