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PERMIT APPLICATI�N <br /> CITY OF EVEf2ETT 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 � 90 '� ' D�7 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT A <br /> ��S Tkci:sotir �o �' `I 5 00 � S�0 1 0� �—�-6'�---$�l�- <br /> LEGAL LOT NO. BLOCK TRACTOR SUBDIVISION# V/{ G�'j-L(/� VJ.l�S F <br /> DESC � 2 3 0 3 S �' 1 NC l��v%t5.�_ j� 1 V f3 'j G G� <br /> OWNER ADDRESS CITY/ZIP PHONE �Q ,EGO-35 � <br /> 5 i E V c' /�I�/Z �3 p 1 e�o8 3/t'UcSont s� £✓r��, wq <br /> TENANT NAME A CONTACT FOR PERMIT PHONE zoG _ 6�j_ Qp fJ,f,� <br /> N I?S �� �'(�TG �CJz E-MAIL CiFOC28�J1�.0 F.2�G�n <br /> [W-. <br /> CONTRACTOR ADDRESS CITYIZIP PHONE �G �8 3 'Q�a <br /> ,�(2l< C �Sivm l3L.o6; �.� . �3�, � r8z7 Mr9.�75v�t,tE, wR <br /> CONTR.LIr,ENSE# �.RKc� 6 r ��,-LS .� <br /> U'iE OF BUILDING ;75�l�I�N Lly�uc sr.��c HEAT SOURCE CONTRACT PRICE OF WORK <br /> �ry2�r� 1 w����S/�� _E!eclric _Gas_Other I � � 5 D�� <br /> WORK DESCRIPTION �r�Cl�f�'D Z�l � /C .7� X 176� 6�RA 6E wc2 K S t�o (� WlTH �57 7� � <br /> �J{� LI V ING 5f'il.L Tf^/ �jTO/=L �f� �c 5 /�N� L�f�I M1� -NP r�4P E�l 7 J <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE pR ITEM <br /> Toile WC-air handling units <br /> 6athW Forced air syslems <br /> _ Lavalory sh basin) Gas piping <br /> _ Sh�wer /'�� � '�'!�� '- terheater <br /> Kilchen sink R ' osal � 1�;���� l ..---- _ Gas ' eplace <br /> Dishwasher __�- �� _ Gas ra e <br /> Clolhes washer Clothes d r <br /> Waler healer Range hood <br /> Sink(service/barlmoplelc.) _ Exhausl lan <br /> 6ack(low prevenler Heat pumF; <br /> Urinal Unil healer <br /> Drinkinc� Fountain Boiler <br /> � = Flonrdrain _ Refrigeialion <br /> Grcase lrap Woodslove \ <br /> Roo(drains Olhar <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TA;I COOE IS 3105 <br /> I hereby cerili(y that I have read and examined this appticalion and know the same to be true and correcL All provisions of laws and <br /> ordinaces governing lhis type of work will be comptied with whelher speci(ied herein or noL The granting of a permit does nol presume <br /> to give aulhority lo violale or cancel lhe provision of any olher stafe or local law re�ulating construclion or the pedormance of I <br /> construction.T{ial I am aulhorized by the owner ot Ihis pmperty to pedorm lhe work for which application is made and I ccmply wilh lhe <br /> Slale Gan�raclors Law 18.27 RCW and 296 200 WAC. <br /> '�,,-e�,;t- � ��t� 3/2�1� � <br /> SignaWre ot OwnedConlraclor/Aulho•ized Ac�ent Dale <br /> '/� <br />