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1 <br /> PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA �8201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> U /J i r � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT if <br /> i� 126 PkiN � 1=�� t,p wl��f :�US3�90DDIJ/� O CG�p(�-�}-�� <br /> LEGAL LOT N� BLOCK I TR/c¢T OR SUBOIV�SION M <br /> DESC. � /�G(i( hP �—��� �� <br /> OWNER ADDRESS CITY2IP PHONE <br /> �� (<b T�/�1 G' `f3o lc �8�o i i z'� a�� u� Uf � ��oa� w�- Q�o 3 7 <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> W� L� E•MAIL <br /> � �,NTR O SS I / <br /> ON RI�I E SE#� �0��� rJ�d7J��i.S llC ��1M1? � �-S %1-dd�(� � �^�^Y'/�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PF:ICE OF WORK <br /> S F� _Electric _Gas][Othe! <br /> �� <br /> WORK Df.iCRIPTION <br /> � �ro�y 13H� rG �y� <br /> sr�/A-- D �l-� �-6 4� xL�{- Zob�6 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling unils <br /> Bathlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal Gas lireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clolhes drver <br /> 4Valerheater Range hoed <br /> Sink(service/bar/moplelc.l Exhaust 1a.n <br /> BacY,flow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Ftoor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify lhat I have read and examined this application and know the same to be true and correcL All provisions of laws and <br /> ordmaces governing lhis type of work will be complied with whether specitied herein or nol The granling of a permit does nol presume <br /> lo give authority to violate or cancel lhe provision ol any other s�a�e or local law regulating construction or lhe peAormance of <br /> construction.Thal I am aulhorized by the owner o(this property to peiiorm the work for which application is made and I comply wilh lhe <br /> Stale Contreclors Law 18.27 RCW and 296.200 WAC. <br /> i�-�� i1�-= - 6l�10� <br /> Signature of OwnedCo Ira todAuthorized Agcnt Dale / <br /> I � <br />