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P�RMIT APPLICATiON <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 /> APFLICP.TIONS ARE ACCEPTED FROM 8 AM TO 4 PM C( -'p f'�'�JS <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> s�a� ��UN�e2 /a �'� . ��.�-ur-;� l'� o5u`'t to� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> I JCSC' C Ci�'f I�L�✓JS 33�I%✓c��`+�€'f C�c�C �—(iE�L—'I T GGil1%("��G/ �-1�5=.�5;��`1Js� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �..T�=��� Lc�J�I'FI�G'�� �J���S<�' C�Y;"�� ����S <br /> CONTRACTOR ADDRESS CITY/ZIP PHOi�E <br /> CONTR.LICENSE�! ;����.-t�:�% <br /> v <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eler,tric �Gas_Olher ��-'�� <br /> WORK DESCRIPTION I <br /> /" 1��� �, �'i�i/ �/ � <br /> PLUMB!PdG MECHANICAL <br /> NO. I TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> Bathtub Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> __ Shower Water heater I <br /> Kitchen sink&disposal Gas tireplace <br /> Uishwasher Gas range <br /> Clolhes washer Clolhes dp�er <br /> Laundiy Iray R3nge hood <br /> Sink(servire/bar/mop/etc.) Exhaust fan <br /> Back(low preuenter Heat pump <br /> i Urinal Unit hea�er <br /> Drinking Fountain Boiler <br /> _ Floor drain _ Refrigeralion <br /> Grease Irap Woodstove <br /> � Foo(drains Other <br /> i Olher <br /> CITY pF EVERETT LOCAL SALES TAX CODE!S 9105 <br /> I hereby ceritify lhat I have read and examined ihis application and know the same lo be true and wrrecL All provisions of laws and <br /> ordinaces governing this fype of�tirorM,will be complied with whether specified herein or noL The grantirg o(a permit does nol presume <br /> lo give aulhority to violale or c2��el the prm�ision of any olher state or local law regulating construclion or the pedormance ot <br /> construction.That I am aufhorized by the owner of this property lo perform the work for which application is made and I comply with the <br /> State Conlractors Law 1827 RCW and 29�200 WAC. <br /> /�' _ .. - - J ,.� — '� <br /> � r:�.%�i�= , ��-=�..�%�-��/� / V- ,C�) <br /> Signat te ol OwneqContraclodAuthorized Agent Date <br /> --- �J J <br />