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\ <br /> PERMIT APPLICATIOnI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRCET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � 61 � ��1��✓i��l f31✓d ovb en�o33� �D�D��'D�� <br /> LEGAL LOT NO. BLOCK TRACT OR SU OIVISION# <br /> DESG. <br /> OWNERu �/Z I G�1'Jl � Z�b EL AYI� rJ �` !=✓PYC"L'{' ��E�)S_S�� (� I <br /> S <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> E•MAIL � <br /> (, ADDR / � <br /> l����i l�l')1� �j LV111 [+ fr{� C 1�� � <br /> CONTR.LI S # <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S I1�4�L� ��F"'1 I�y/ �S I���1u�1 —Electric �Gas_Olher 7p�y�� i <br /> WORK DESCRIPTION � <br /> n�1d,'f,'vn �' r��mo�✓�. / o¢ /J���2�7�,�J o�u� ��,�rr�,r� F�2,�,,,—s: <br /> �o,UV�y -��u' oF CG��/�� ?a Liv f�,4c�:. - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> : Toilel A/C—airh2ndlingunits <br /> / �� B2ihlub Forced air syslems <br /> I Lavalory(wash basin) _ Gas piping <br /> Showcr Walor heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> � t� Dishwasher Gas range <br /> f �_ Cblhes washer � /_ Clothes dryer � <br /> Water healer �� Range hood <br /> ! � Sink(service/barlmop/etc.) � �_ Exhausl fan /%� <br /> BackOow preventer Heat pump <br /> Urinal Unit heater <br /> _ Drinking Fountain Boiler <br /> Floordrain � Refrigeralion <br /> Grease Irap Woodslove <br /> Roo(drains Other <br /> Olhcr <br /> CITY OF EVEREiT LOCAL SALES TA%CODE IS 7105 <br /> I hereby ceritify lhal I have read and examined this applicalion and know Ihe same lo be true and correcl. All provisions of laws and <br /> rndinaces c�overning this type of work will be complied with whether specified herein or noL The granling o(a permit does nol presume <br /> lo give authorily lo violate or cancel Ihe provision ol any olher stale or local law rec�ulaling consWction or lhe pedormance of <br /> consiruction. That I am authorir.ed by the owner o(Ihis property lo perlorm the work(or which applicalion is mado and I comply wilh the <br /> Stale Conlractors Law 7827 RCW and 296.200 WAC. <br /> �c=�,� � �-- - yl�z/od' <br /> Signalure ol Owner/Coniraclor/Aulhorized A�ent Dale 1 / <br /> i <br /> �L <br /> L----- - — <br />