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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, W�. 9E3201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS AflF ACCEPTED FROM 8 AM TO 4 PM y`� �"� � <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # <br />^�ao3 LE�N!`.� �% . vo 5531C� `;oJoeC ,�� 0-�Otl <br />LEGAL LOT NO. BLOCK TRA:T OR SUBOIVISION # � <br />oEs�. ��a c�� �D �-o . �-�e /� ND <br />, <br />OWNER ADDFiESS CITY2IP PHONE c�n S'_< <�� <br />�,��y �,,fTk�•F����ti!l ,�^^ L��'N�'R-� ��'�. F.Vff E,' �ci�.�'�,_�,� <br />TENANTNAME I CONT4CTFORPERMIT PHONG� <br />CONTRACTOR- �'NNJFr✓CE- E/•��,:kc;y' <br />;Gr..v; �.E s" <br />CONTR. LiCENSE # <br />�'!A /✓ r Fi �S CJ(O � vT' <br />! USE OF BUILDING <br />7 � / �"". <br />;cz:.,; /'�t'n.� ; �- <br />�' a L �� y"��' -yS'i-�1G� �� <br />- HEAT SOURCE I CONTRACT PRICE OF WORK <br />. / Q� a0 <br />Electric �-Gas Other !UL-/l• <br />WGRK DESCRIPTION <br />�[ F �G�'-f /`/ : �,'� �i%i � �v/�NF� <br />PLUMDING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bath�ub <br />Lava�ory (wash basm) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />CIOL`ies washer <br />Water heater <br />Sink (service/badmop'etc.) <br />Backllow preventer <br />Urinal <br />Drinking Fountain <br />Floor dra��� <br />Grease trap <br />RooF drains <br />Othe� — <br />Rb� <br />MECHAWICAL <br />TYPE OF FiXTURE OR iTEM <br />� A'C - air handliny units <br />-_/ f1 Porced air systems <br />�-� uas piping <br />Water heater <br />Gas fireplace <br />uasrange <br />Clothes dryer <br />Range hood <br />Exhausttan <br />HeatFump <br />Unit heater <br />eoiier <br />Refrigeration <br />Woodstove <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritity tha� I have read and examined ihis application and know the same to be true and correct. All provisions of laws and <br />ordinaces goveming ihis type of work will be complied with whether speci(ied iierein or not. The granting of a permit does not presume <br />to give authorily lo violate or cancel Ihe provision of any other state or local law regulating construction or the peAormance of <br />construction. Th /� authorized by the owner ol Ihis property lo perlorm Ihe work for which application is made and I comply with Ihr, <br />State Contrac rs a 7827 RCW and 29620U WAC. <br />��� Il) <br />� `���'°9 <br />I L <br />