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P�RMIT APPLICATIC�N <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 ', �.�� _Q� <br /> SITE ADDRESS PARCEL TAX I.D.A� PERMIT t <br /> �'i�/ ts.�,'7`f cG <br /> LEGA LOT NO. BLOCK TRACT OR SUBDMSION t <br /> DESC. <br /> OWNER ADDRESS CRY21P PHONE <br /> �K '��� .�g��nS� ' /"D ��x /97.� �i.r..�l !r� ��LoL '�?s-33o-77�3 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ��2-� E�MINL <br /> I <br /> CONTR.LICENSE il <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Flectric �as Olher �gC�� <br /> WORK DESCRIPTION <br /> .r,��{•// G�s �o.j,_e �v ci.o.'� f-/fu�i— <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OP FIXTURE OR ITEM <br /> Toiiet AIC—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposai Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water healer Range hood <br /> Sink(servicelbar/mop/etc.) Exhausl tan <br /> Backilow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritify lhat I have read and examined lhis applicalion and know lhe same to be lrue and correcl. All provisions of laws and <br /> ordinaces c�overning lhis type of work will be complied with whelher specified herein or not.The granting o(a pertnit does not presume <br /> lo give authority to violale or cancel lhe provision of any other stale or local law regulating construction or the peAortnance of <br /> construction.That I am authorized by the owner o(ihis property lo periorm the work for which application is made and I comply wilh the <br /> State Conlraclors Law 1827 RCW and 296.200 WAC. <br /> �./�% , ,;�if �:zo-o9 <br /> Sign9ture of�ctorlAulhorized Agent Dale <br />