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, . , � �.. <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—vwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS '•)�uJ I�z�t� n✓--0. pARCF����I�.D�IO' � U L PERM , M <br /> Fue��f�" t,.�i! $Zl ; C�0 � 3 � -Dl��-..- <br /> LEGAL LOTNO. !A?u BLOCK TRACT ���`F � (�LK(p`61 A- 0: 11LK �oS�o S 'J <br /> DESC. FG-'AG `I tl� CoFf'7 D-oL Evei fi RI•so �.+� TN v N �F ✓�`c �o•ti,�sA�-h <br /> OWNER � / ' �1 AUDR SS CRYRIP PHONE /� <br /> CI�� LVGv1� 32JD Ce�0.r S�" �`�tiC��l'-,1'1 lJ �I� <br /> k oC � �kzvi <br /> TENANT NAME CONTACT FOR PERMR Z�� SP��E z3 �[I <br /> �;,�r�' �cve.�1 Cent� �a��_y �C. i.�g � ) `r <br /> CONTRACTOR ADDRE33 CIN21P PHONE <br /> W�o.�.:�o�.�.l d el��llt� �� i � ��.l,,-�,T-1- />.,�..� S w S-z.ti4`F1i,�,/l.�A �2.0�) <br /> CONTR.LICENSE N �'1 p I u t' 1�p b•- l.�)7$ <br /> MA�ooFS `�81 (L..0 i2 - 31 - �`� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��hN,_.a.J' i C�1 I _Electric �Gas_Othar ���!� <br /> WORK DESCRIPTION <br /> e►�.rh,;.� n�v� � a-���.� .� �..�, 3 h��a s �..�, , , ���s�. W��.►.�. U.,�� � � � <br /> v c.a.L.t�� e'Yrnu� <br /> ���: 5 RQa���� y��� w,,�;..t;����, � 2 �.��r� v,p =-�-•o I�..� o,.�.� <br /> cor�ni 1r, t �s h�� 0.� � i v�l i,. \ _n1'�"�l\ c:v� hA.I.T F 1 r� Y � h� <br /> PLUMBIN MECHANICAL k�1a�,.�q S <br /> v.a,� <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> � Lava[ory(wash basin) _{� Gas piping <br /> Shower Water heater <br /> ! Kilchen sinl:8 disposal Gas firepiace <br /> 7 Dishwasher � Gas range <br /> � Clothes washer Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) Ezhausl fan <br /> BackOow preventer _ Heal pump <br /> Urinal Uni�heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove r <br /> Roof drains = Olher ��1i C��Y <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7705 <br /> I hereby ceritity Ihal I have read and examined this application and know the same to be true and corcect. All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whelher specified herein or not.The granting of a permit does not presume <br /> to give aulhoriry to violate or cancel the provision of any other state or local law regulating construction or Ihe peAortnance of <br /> ;aonsKuct_ion.Tfiat 1 am authorized�he ownor of this property to pertorm the work for which application is made and I comply with the <br /> � State Conir�cta s Law 18.27 RCW an 00 WAC. <br /> �-� o;�5� �l —l u _�� <br /> Signature o wner/Contractor/Authorized Agent � ate <br />