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, <br /> PEr2MIT APPLiCATIO�N' <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 /> �N �T U APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT# <br /> i�126 Pk�a � r�� �p wl�Y �vs37 oG�ol�/� � CozUfn- �S3 <br /> LEGA LOT N0. BLOCK TR T OR SUBDIVJSiON N� �� <br /> DESC. j �jt�( �l.Q j� Y� _ <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> � I<bTO�� �TSolc Igio1 � z��� a�� u� u(� ��ou� w�- Rg�37 <br /> TENANTNAMc I CONTACTFORPERMIT PHQNE <br /> W'T L v E-MAIL <br /> N A A SS I I I N <br /> C.�bblesTo�� co�Gr ���,i,� l�� �,��rr � n-s �-aa�,e � 6-'�-�7��I <br /> CONTR.LICENSE p <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORiC <br /> SG� _Electric _Gas�Other <br /> / <br /> WORK DESCRIPTION <br /> � �to�y 1�� � c �y� <br /> s_r- P� bs--o �`6 q-oxLy- Zo �6 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel _ PJC–air handling units <br /> OaUilub Forced air syslems <br /> � Lavalory(wash basin) � Gas piping <br /> � Shower �_ Waler heater <br /> � Kilchen sinY.8 disposal t Gas fireplace <br /> � Di�hwasher � Gas renge <br /> � Clothes washer � Clothes dryer <br /> 1 Water heater \ Range hood <br /> Sink(servicelbadmop/etc.) � Exhausl fan <br /> 1 Backflo�v prevenler Heat pump <br /> Urinal � Unil heater <br /> Drinking Fountain _ �oiler <br /> S Floordrain _ Refrigeration <br /> Grease trap _ Woodstove <br /> � Roo(drains _ Other <br /> Olher — <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this applicalion and kno�v tho same to be true and correcL All provisions o(laws and <br /> ordinaces gorerning Ihis type,of work will be complied with whether specified herein or nol The granting of a permit does nol presume <br /> to give authorily to violate or cancel the provision of any other slale or Iocal law regulaling conslruction or Ihe performance o( <br /> construclion.That I am aulhorized by the owner of Ihis property to perform Uie work for which applicalion is made and I comply with the <br /> S(ate Conlractors Law 1�.27 RCW and 29G200 WAC. <br /> i�-�� �,�.._ - 6l�10� <br /> Signature ot OwnedCo lra tor/Authonzed Agenl Date I <br /> � L <br />