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PLRMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS -� Q PARCEL TAX I.D.11 PERMIT k <br /> � r, � , <br /> i/i;��� /�-�>��� F�C'L�� cu�-y p - - G� <br /> LEGh LOTNO. BLOCK TRACT <br /> D[SC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> I,�AGit)� KJJ�' S ✓iv_ i3. L i= LAr_�"SIu�.P-c �i2 Lzw)`fU�� i7� °j <br /> .L,c S2-VC.�/S <br /> TENANT NAME CONTACT FOR PERMIT PHONE� j����� <br /> I ��.i✓ �1Eii�i.��v,v- t�Ur-+S� � � y u "s �`f 6 � <br /> CONTRACTOR ADURESS �ITYIZIP PHONE <br /> /�V/�j/NS(:n� J�L v;991?ii��. /i�-t� �� ��j•;u /J Yt7! Ia✓C N� a,��i L7 � ��'�� <br /> CONTR.LICENSEN ��. F�N/7 {"i.. -7t C Z, ��d�Lin-(/T�T�/� �'�� �Y��:. L <br /> USE OF BUILOING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � �.��o-v <br /> `'�� /�- Electric Gas_Other <br /> WORK DESCRIPTION <br /> ;n� �i/�t.< r-,�L ,� /'i'-ir �.�r�_h'- SYSi'!_-��7 f�i_=�2 l✓�P/1 /�/� <br /> / �✓ f�/i>>v S T l� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> Bathtub Forced air sysiems <br /> Lavatory(wasli basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Cbthes dryer <br /> Laundry lray _ Range hood <br /> Sink(servicelbar/mop/etc.) _ Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal UnR healer <br /> Drinking Founlain _ Ooiler <br /> Ploor drain Refrigeretion <br /> Grease trap _ Woodstove <br /> Roof drains Olher __ <br /> other �?c �Pi1-i�..�K��_��_ H����S <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I I hereby centiy that I have read and examined this application and know the same to be true and wrrect. All provisions o(laws and <br /> ordinaces goveming thls rype of work will be compGed wllh wheiher specified herein or not The granting of a permit does not presume <br /> to give authority to vlolate or czncel the provision of any other state or local law regulating construc6on or the pertormance of <br /> construclion. That 1 am au[horized by the owner of this property to pedorn the work for which application is made and I comply with the <br /> I State Coniractors Law 1827 RCW 296200 WAC. <br /> �i�L-� 1�,. � U�'z�/a <br /> Sgnature of OwnedContraclodAuthor¢ed Agent DatA �/Z <br /> / <br />