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�cRMIT APPLICATIUN <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> /U/a .�C,�K D . IoUI - <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADORESS CITYIZIP PHONE <br /> �rc.nc�t/alc� IU/.� �C�r��- L��. C.VC($�I /�5��3 `��5' ]�3- .�-lt.� <br /> TENANT NAME I CONTACT FOR PERMIT PHONE yZ�. �y_ ���,q <br /> �v�rd�yn �f«nc�Jo �G� I -� eF4 � ckcr� e-raa� 1�1��� QtiSsc.orc, <br /> NTRACTOR 00 I�Y� <br /> �e,�,cr jcN���. �,F S��c. C,�. �?}S Y4i�' `t✓r � 't� /✓t�,lc:�ro �> <br /> CONTR.LICENSE p � `��S '�'�'`�` <br /> 9�71 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � r K fsi c�t�^,rr �Electric _Gas_Olher "�- <br /> WORK DESCRIPTION <br /> IQ{mci{ ��'�,I<"�.,5 ���. r. I-�r�.r�rr a„� rePlc��t w;tt. nP�,u <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilcl AIC—air handling unils <br /> �athtub Forced air systems <br /> Lavalory (wasli basin) Gas piping <br /> Showcr �C Waterheater <br /> I(ilchen sink 8 disposal Gas firepiace <br /> Dishwashcr Gasrange <br /> Clothes washer Clothes dryer <br /> Waler heater Range hood <br /> Sink(service/badmop/etc.) Exhausl(an <br /> Oack(low prevenler Heal pump <br /> Urinal Unit healer <br /> Drinkinc� Founlain Boiler <br /> Floor drain Refrigerelion <br /> Greaso Irap Woodslove <br /> Roof drains Other <br /> Othcr <br /> CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> I hereby cerilify thal I have read and examined lhis aoplication and know lhe same to be Irue and correcL All provisions of laws and <br /> ordinaces governing this lype of work wil�be compliod wilh whether specified herein or noL The granting of a permit does nol presume <br /> lo give aulhorily lo violato or cancel the provision of a�y other slate or local law regulaling consWclion or Ihe pedormance o( <br /> conslruction. Thal I am aulhorized by lhe owner o(this,�roperty lo pertorm the work(or which applicalion is made and I comply wilh Ihe <br /> Stale Contractors Law 18.2Z R� and 296.200 WAC. <br /> , i �' / �� <br /> �i /./-,/ii-�� /I or/p�,//n <br /> S}tJ{Yal(�o O�vneNCon(racbdAulhonzed Agenl ate <br /> � ; <br />