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PtRMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES ^ ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /VC���'O3� <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org �.��,�1 <br /> / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.A PEttMI / <br /> I Z 12 G—RaqN� �v�� y Q+-� 5o I000 G��O'�CZ�Z <br /> LEGA l0T NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. � IO � � aasc-oo e�►e� � �► �1buREs s�, � <br /> OWNER ADDRESS CITY2IP P E <br /> S�N �I��r��s � -� �Np A� - E�-I- 9e�� �as-,�sa-zs�4 <br /> TENANTNAME CONTA ORPERMIT PHONE 4�=Z�Q— 4 <br /> i�►I.TESSIER- e�na��1Au1..TE� �CA� tT <br /> a.wts; ��� aa�8 s�,�ys����l��. ��d� �-��-z� <br /> CONTR.LICENSE M 9�� <br /> FiHc' ►.r�Ff� ���l S�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �Ic3���\1�t L _Electric �[ Gas_Other �/�u� � � �� � 0� <br /> 7' C`J�J r.,{^ .r� � <br /> WORK DESCRIPTION '��COGI �� ��%n S � " z� X 7, �p J( Z <br /> �'lC'_ (S 07' D3�- c�`,es'� <br /> ,� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURt OR ITEM <br /> 2 Toilel�� A/C—air handling units <br /> Z,� Balhlub�� Forced air syslems <br /> 3� Lavalory(wash basin) �`\ J_ Gas piping <br /> Shower Waler heater <br /> � Kitchen sink 8 disposal �_ Gas fireplace <br /> � Dishwasher Gas rangn <br /> 1 Clolhes washer � Clolhes dryer <br /> _ Waler healer Range hood <br /> Sink(service/bar/mop/etc.) � Exhaust(an��1� <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigoralion <br /> Grease lrap VJoodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby ceritify thal I have read and examined this application and know the same lo be true and cortecl. All provisions of laws and <br /> ordinaces governing lhis fype of work will be complied wilh whether speci(ied herein or not.The granting of a permit does not presume <br /> to give aulhonty lo violale or cancel the provision of any other state or local law regulating construclion or lhe pedortnance of <br /> construclion.Thal�am authorized by the owner of this property to perform the work tor which applicalion is made and I comply wilh the <br /> �¢��Sl e RCW and 296.200 WAC. <br /> - /r�z9�� <br /> Signa, re of OwnedConlraclorlAuthorized Agent Dale / <br /> I <br /> ' - co� f��.��n �O�j� � � <br />