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P��MIT APPLICATIO�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR �TREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS rjra^` ' LO PAR��T�X I.D.�� ��7 O Q PERMIT �-D� <br /> �31 � 2.. F I�s C J <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION It <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �V;k; l� � (����,L <br /> �.� • �ox �c $�i- GQ� (,�; t�d (� 4-?S-3S3-18' 2 <br /> TENANT NAME 1 . CONTACT FOR PERMIT PHONE �Y i�OV..I . <br /> N� 1���Q.KT �L-Vb" / ��- �`TZA �� E•MAI� <br /> T R � � <br /> pw �.z� �. � • ��K �i�4 �M� k � � �c� G.)a �t?'275. <br /> CONTR.LICENSE k <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WQF� <br /> /-� (,1 iu� — �w u.2 ✓ '�" <br /> _Eleclric Gas_Other <br /> WORK DESCRIPTION 'n5�c d�-� 1 � <br /> Re k,.oa f,e su.,.a 1� s�v� ; o . ���k �; <br /> ,, <br /> ��� ^ �� <br /> PLUM8ING NIECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> '� �/ Toile� _ A/C-air h�.ndling units <br /> 6athtub _ Forced ai� systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> 1 Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clolhes dryer <br /> Water healer Range hood <br /> Sink (serviceNadmop/cic.) � Exhaust tan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater . <br /> Drinking Founlain _ Boiler <br /> floordrain _ Refrigeralion <br /> Grease trap _ Woodstove <br /> Roof drains _ Olher <br /> Olher — <br /> CITY�OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this appiicalion and know the same to be true and correct. All provisions of laws a�d <br /> ordinances goveming this lype ot work will be complied with whelher specifed herein or nol The graniing oi a permit does nol presume <br /> to give aulhority�o viela�e or cancel Ihe provision of any other state or local law reguiating construclicn or the performance of <br /> consiruclion. Thal I am authorized by ihe owner of this property lo periorm the work for which application is made and 1 comply with the <br /> Contrad,oers�Law 1 27 RC�6200 WAC. <br /> ` � 06 - O( - lp <br /> c..:., <br /> gnalure of OwnedConlrac�o � utllorized Agenl Dale <br /> -- - - -- --� ---- --. <br />