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� J <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 (�_�g�0� <br /> SITE ADDRESS PARCEL TAX I.D.• PER <br /> � 7z� Fle..,�rr avE E�'E�err e�y :�91 bbL o�7170 �� <br /> LEG LOTNO. BLOCK TRACT <br /> DESC. �'� I Ce�e�n—OL <br /> ONMER ADDRESS CITY/aP PNONE <br /> L�`��wAy ?i�titl�ES •�opb-L���/�JE � �+71LE�ltiY _ <br /> 7ENANT NAME CONTACT FOR PERMIT PH�11E <br /> � � � lae -1� � I �l�,...� �«Sr�'-v U25-Uz3-�9CV <br /> I u, ic � C�C - <br /> CONTRIICTOR /`� ADDRESS CITY/LP PNON�+E <br /> �C/�'1�NL'RCII�ILJ-+V�ll�aT�LIl1L (�G�'{I•�,�5 ��I�o �-04TH �OA� j�N1�1�IGfJ�Iti��'{ 9pZ.�� <br /> CONTR.UCENSE t 4Z5-4z3-09 o O <br /> ��.,�,a��� zos�� (��i ,�lo� _ <br /> USE OF BUILDING HEAT SOUR CONTRACT PRICE OF WORK <br /> Ov <br /> D�hlCt /co�H.+rr'�Zc�r1-L _Eledric _Gas_Other � ���5(,� <br /> WORK DESCRIPTION <br /> 1.�.�5',���� iJFw S�n?GLE �ly i�-crF «��E�tiit�,�.•E <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF flXTURE OR ITEM <br /> Toilet NC—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/�arlmopletc.) _ Exhaust fan <br /> Badcfiow preventer Heat pump <br /> Urinai Unit heater <br /> Drinking Fountain _ Baler <br /> Floor drain Refigeration <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> 1 hereby ceritify that I have read and examined this application and know ihe same to be hue and carted. All provisions of laws and <br /> ordinaces governing this rype ot work will be complied with whether specified herein or not.The granHng of a pertnit dces not presume <br /> to give authoriry to violate or cancel the provision of any other slate or local law regulating conshudion or the perfortnance of <br /> wnstn�ctlon. t I am authorized by the owner of this property to pertortn the xork for which applicallon is made and I comply wilh the <br /> �e Contrador Law 18.27 RCW and 296.200 WAC. <br /> l __ - ' y �� �7 <br /> Signati ar�f.dd�merl ontradod�uthonzed gent e <br />