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P�RMIT APPLICATIUN <br /> �ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-- FAX 425-257-8857—www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PF�RMIT A <br /> I o�� CaP�'�k� FN/� `. Lvo `f' ( s <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE [..�Z S - <br /> �{�tSCN/�-� IOZ? C,(1M`,� f�"L� £G�(/ �'8201 �o—bi6� <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> �v�vuEw Juw,' C��,oR���'� �1�5-��Z—l��Z <br /> CONTRACTOR Pf'�C T� ��ESS p . I 3TM2 a�;v 96'2a0oE -[ZS <br /> ���n P�ry.�-�- 4 fv� G �u,� � o. qox L Z c�. � <br /> CONTR.LICENSE# ��p����'��7� Z�L' I (.S� <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> I S GPG> <br /> ��li�[�l.F, FRH7/(�Y — <br /> Electric �Gas_Olher � <br /> WORK DESCRIPTION <br /> 2/�'1o�GL 3 �/�"7�4P-oo�K�, /��'L�. �l1�7'L(t��S r ��� ��5 � <br /> /vj�...':-i; j 7/' 4't,..�,��<C. <br /> I :! C /U S K�--r-7�� '�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet _ A�C-air handling units <br /> � Bathtub _ Forced air systems <br /> � Lavalory (wash basin) _ Gas piping <br /> � Shower _ Waler heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Cbthes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mopletc.) Z Exhaust tan <br /> Backflow preventer _ Heal pump <br /> Urinal _ Unil healer <br /> Drinking Founlain _ Boiler <br /> Floordrain _ Refrigeralion <br /> Grease trap _ Woodstove <br /> Root drains _ Other__ <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS 3705 <br /> I hereby ceriti(y thal I have read and examined Ihis application and know the same to be true and correcL All provisions o(laws and <br /> ordinaces goveming this lype o(work wiil be complied wilh�vhelher specified herein or nol.The granting of a permit does not presume <br /> to give authority to violate or cancel lhe provision ol any other stale or local law regulating wnsWction or the performance of <br /> construction.Thal I am authorized by the owner of lhis property to pertorm the work for which applicalion is made and I comply with lhe <br /> Slatc Cpnt�actors��aw 1 CW and 296200 WAC. <br /> ` /��- �� `—�'--- ��" �cl �- <br /> � Dale <br /> Signature t 0 nedCo act r/Authonzed Ac�ent <br />