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,.,,, ._ <br /> PcRMIT APPLICATI(�nl <br /> CITY dF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4'L:i-257-8810— FAX 425-257-8857—www.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM g —�y�O� <br /> SITE ADDRESS PARCEL TAX I.D.# PER IT i1 <br /> S�S ��: L�A�� �1��r w ��5��$ 58 zoz�oc� ��j'l�<Ji�, <br /> �EGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. ,�3� ,SSZ M/T NEzc M .Q U��.wi �'�s Fi.PST T �� r <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> �//"JLC�Z� /N� li2`f' Lo%,Jn �+,�c- /Ifu,���v�gsrz�s `/zs>s��z9 <br /> TENANTNqME I CONTACTFORPERMIT PHONEl�Zs.SSj /71�� <br /> /�JGF� �Vc. E•MAIL/IAL�lSc'��j��SAJ. <br /> D RES YI IP H N� <br /> C04TR.LICENSE f! <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Oo <br /> ����L _EleUric �Gas_Other D�— <br /> WORKDESCRIPTION ✓ �QyNI �']o,�.cN <br /> ����2 ��y eo , 0�.1 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> "foilel A/C—air handling units <br /> — Ba������ Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher __ Gas rangc <br /> Clothes washer Clothes dryer <br /> Water heater Rance hood <br /> Sink(service/bar/mop/e1cJ _ Exhaust(an <br /> Sack�low prevenler _ Heal pump <br /> Urinal Uni�healer <br /> Drinkin�Founlain _ 8oilcr <br /> Floor drain Refrigeretion <br /> Grease Irap _ Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y Ihat I have read and examined lhis application and 4.now the same to be lrue and corred. All provisions of laws and <br /> ordinaces goveming this type ot work will be complied wilh wheUier specified herein or not.The granting of a permit does nol presumo <br /> to give autho ' violale or cancel Ihe provision of any olher state or local law regulating consWction or the pedormance of <br /> conslruclian.Thal I am aulhorized by Ihe owner o(Ihis properly to pedorm the work(or which applicalion is made and I comply wilh the <br /> State ontraclors w 8.27 R_.C�W a d 296.'00 WAC. <br /> �����3 0 <br /> Sic� olOwner o rectorAuthonzedAyenl ale ' <br /> /� <br />