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,. <br /> , <br /> P�RMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —ww�N.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �9 �a b -07 <br /> SITE ADDRES PARCEL TAX I.D.# PERMIT# <br /> :� L,OS�� c.������ l3l�c ��o�'� -cco-oyz -av /'n7ol �� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. f� �` Ualle J�Pi^� <br /> OWNER ADDRESS CITY2IP PHONE ZQ(o-�'l -C�SS <br /> ��:.,�< <,��c.��c�o�P� z(��S ���v��e�� �131�� iJE'(� II �FSZC� <br /> TENANT NAME CONTACT FO ERMIT PI10P1E <br /> CONTRACTO—`C /"1�L ��D ESS ��� I� " `TY21P ZlX7 PD INE—�S � Z _ <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT�OURCE CONTRACT PRICE OF WORK I <br /> _Electric �as_Other �jZ� <br /> WORKDESCRIPTION '��'``� \�� ��e�1�C1�� �C�\ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> Toilel A/C—air handling units <br /> Dathlub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Showr.r Water healer <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasranc�e <br /> Clolhes washer Clolhes dryer <br /> Waler heater Ranc�e hood <br />•� Sink(service/bar/mop/elc.) _ Exhaust tan <br /> Back(low prevenler _ Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y thal I have read and examined this applicalion and know the same lo be true and correct. All provisions of Iaws and <br /> ordinaces c�overninc� lhis lype of work will be complied wilh whother specified herein or not.The granling of a permil does nol presume <br /> to give authority lo violate or cancel ihe provision of any olher stato or local Iaw regulaling construction or the periormance of <br /> conslruction:�Thal I am authorized" lhe owner of this property!o perform the work for which applicalion is made and I comply with the <br /> State Convactors Law 18 7 R nd 29�00 AC. <br /> _�- , <br /> ; � ' <br /> Signalure o(Owned ontr todA thonz Ac� l Oate �� <br />