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—�� ( <br /> PERMIT APPLICATION <br /> CITY OF E'VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 42: ?57-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6 -' 7 ..n� <br /> SITE ADDRESS PARCEL TAX I.D./ PERMIT N <br /> 2. 0 � Ne".,� Ave jUBC�cp -(,� <br /> LEGA LOT NO. BLOCK TRACT OR SUBOMSION 11 <br /> DESC. <br /> OWNER ADDRESS CITY2IP PNONE <br /> u. �, ��e (cM. � 15�12c f/�„y �1h d t Gy�w.:l. ,.vA <br /> 7ENANTNAME CONTACTFORPERMIT pHONE Ntr 3�.�yoa <br /> �V!Ne K-� S �U ` ���'L'1.��11 E�MAIL <br /> CONTR.LICENSE N S 2-� � y���`1v6J._{�1I Ct. I ��0 � �� �/ I U� I � �Y '� <br /> •t.�•c` <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �..r}y-��:� �13�/L _Electric ,�Gas_Olher <br /> WORK DESCRIPTION <br /> Mcv� .�.•l-�:�dt <<ynr �r��,+-. 2vi`i �-(t�,�v�`l{ {-0 20�3 Nr�v;� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FUCTURE OR ITEM <br /> Toilel WC—air handling unils <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) Exhausl tan <br /> BackFlow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify that I have read and examined this applicalion and know lhe same lo be true and cortecl. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or nol.The granting of a permit does nol presume <br /> to give aulhority t te or cancel the provision of any other state or local law regulating construction or the perfortnance of <br /> conslruclioru at I am uth 'ze�by the owner of lhis propeAy to perform tbe work tor which application is made and I comply with the <br /> State CoM�actors La 7 RC and 2 6 AC. <br /> Signa U o nedContraclor n Da � <br /> IZ <br />