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—( i <br /> PERMIT 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �—/(f -D� <br /> SITE ADDRESS PARCEL TAX I.D.t P/ERj/M�I NS.,, / ,� <br /> I l� �-�'�VI �-E '`� �,��d � 6�6 `1 J' /��J I"/i�UC�'/� <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION p <br /> DESC. iLi � I ,� :� 47 '�-J <br /> OWNER A�DRESS CITY2IP PHONE <br /> /;,: d, �,n��-t�f l 7,�. !-G:c��;�f- /-�C �v�,tfi� �J�'�J( v�s- ?«i— '�'J.c/ <br /> TENANT NAME CONTACT FOR PERMIT� PHONE��( -���j'�C�/'-� <br /> �.�;WNK^\� �. �L�I�y� �� E-MAIL�{l^G�II�•i . %�l <br /> �$ � �,{� <br /> G-tY^f�rvf- Cj,h^ J�'�''i>� Li�nTe�i;� 5� �G4.7'Yk `?`•fr�`( �2`�'�?1�-�?L <br /> CONTR.LICENSE R�7��-�� s� y���1 DZ_ <br /> USE OF BUILDING NEAT SOURCE I CONTRACT PRICE OF WORK <br /> �� I�f <br /> �'7���,i���,r.r/1 _Elecldc XGas_Other -��' �, `-�`-�� <br /> WORK OESCRIPTION ,I <br /> / <br /> ����f�� �� �e; f I (17�ivi�v:�;c-2� �`�f- �-r-:� ���a�t� f�(>;Y�l �/��Fer�r't <br /> J'� / ,� <br /> ;,✓i�/1� Ck luiv`�t � �"�t 'K— �G' •�`/�t'_ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM N0. TYPE OF FlXTURE OR ITEM <br /> _ �ile� NC-air handling units <br /> _ BalhWb Forced air systems <br /> _. Lavalo (wash basin) Gas pip�ng <br /> Shower Wa�er liealer <br /> Kilchen sink Isposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer . Clothes dryer <br /> Water heater _�_ Range hood <br /> Sink(service�badmo etc.� _L Exhausl fan <br /> Backflow prevent � _ Heat pump <br /> _ Urinal / Unil hea�er <br /> _ Drinking Fo �ain (� Boiler <br /> _ Floordr ' 1' Refrigeration <br /> Grea rap ^��,,,�\ Woodstove <br /> Ro drains I�' 9 � ome�_���,���c L»Lr,l� <br /> er 6 � <br /> — — � ` <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceritify Ihat I have read and examined this applicauon and know the same ro be Irue and correcl. All provisions of laws ar.d <br /> ordinaces goveming this type of work will be complled wilh whelher specified herein or not.The granling of a permit does nnl presume <br /> lo give aulhority Ic violate or cancel the provision ol any olher state or local law regulating conshucUon or the pedormance ol <br /> construclion. That I am aullwnt�d by ihe owner-o�,lhn�-property to perform the work for which application is made and I compty wnh ihe <br /> State Conl[aClors Law 18.27 RCJ(V.�ndP96200 WAC. <br /> ' �/�l�r <br /> S g�-�-:r� _-� <br /> aWre"oi OwnedContrac�odAufporrfeo Hyent Dale <br /> ��2 <br />