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PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES , <br /> 3200 CEDAR STREET, EVERETT, WA 98201 , <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> I APPUCATIONS ARE ACCEPTED FROM 8 AM T04 PM I <br /> i <br /> � SITE ADDRESS / �% /� PARCEL TAX I.D.N PERMIT K ' <br /> ji�i� c� /-'�„�� r=,�,,;� ���s-. 'fl - <br /> � LEGAL LOTNO. B�OCK TRAGT <br /> I DESC. <br /> I OWNER ADDRESS CITYILIP PHONE '. <br /> � L���i3f�1L6-`,/ LntiiL; i,, <br /> TENANT NAME I CONTACT FOR PERMIT PHONE � <br /> i <br /> i CONTRACTOR ADDRESS CITY/LP PHONE � <br /> �Cgiti�}t)iJ ��L.�L7E� . <br /> I CONTR.LICENSEN •� '/.� .�[.� �j `�/%I /�J rC� /' ! '/ ��r'! j 3C G' '/t 1 _- II <br /> �i��7//�//�� 27Lc 1 ,�i�.iNv7C��_ � Y-� Z <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK I <br /> .� <br /> 'S � �"� Eledric Gas Olher ��� ��Z I <br /> , WORK DESCRIPTION ' <br /> I' j/v �% �'� L( %��/f'C �/�;''//�iC C �-)� �ySiL��7Y7 . �.-; ti, C_L� .) r7�� ! <br /> PLUMBING MECHANICAL , <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM i <br /> Todet A/C-av handling unds '�� <br /> � _ Bathtub Forced au systems � <br /> i _ Lavatory(wash basm) _ Gas piping I <br /> _ Shower Water heater � <br /> � _ Kdchen smk 8 disposal _ Gas f�replace <br /> i = Dishwasher = Gas range I <br /> Clothes washer Cbthes dryer <br /> , _ Laundry L•ay _ Range hood . <br /> Smk(sernce/bar/mcpletc.) Exhaust fan � <br /> Backflow preventer Heat pump I <br /> , _ Unnal _ Und heater i <br /> � Drmking Fountain Boiler <br /> ' _ Floor drain Rehigerahon I <br /> Grease trap Woodstove <br /> Roof drains Other __ � <br /> Uther I <br /> — � s�-,c ,,,��<<.-�� �1�9�5 <br /> � CIN OF EVERETT LOCAL SALES TAX CODE IS 3705 i <br /> - I hereby cenLy that I have read and examined this application and know the same to be true and correct All prowsions of laws and � <br /> . ordmaces goveming thls type of work wdl be complied wdh whether speafied herein or not. The graniing of a permit does not presume � <br /> '� to grve authoriry to violate or cancel the provislon of any other state or local law regutat�ng construction or the performance of ' <br /> I construction. That I am authonzed by ihe owner of this property to perform the work for which applicatwn is maoe and I comply wRh the I <br /> State Coniract i s Law 18 27 RC�y�end 296 200 WAC. � <br /> �'J �� � _-('�� !�-/i �,��� �I <br /> S�gnatUre ot Ov✓nenCon�aTctodAuthonzed Agent Date <br /> l�/ I <br /> I <br /> . — II� . <br />