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P�RMIT APPLICATIt.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 � -0 ! <br /> � ..a lo <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS I PARCEL TAX I.D.# PERMIT# /� � <br /> j IC; —k PIGCF OcV > 0 �;, . �; U(�UCG �7G ` �5/�'O/� <br /> LEGAL LOTNO. BLOCK TRACT L <br /> DESC. I I u <br /> ' CoV r �d�� �' CU � U � <br /> OWNER ' 1 ADDRESS ) CIN21P PHONE [���_ ,30 3 - � 30 <br /> �,o � s �'U �tirrN � 3 � � Ic: r� (� � Je�- e � �ikao � <br /> TENANT NAME CONTACT FOR PERMIT LOI S � PHONE <br /> , w�„4wk �1�-30_3; � •�3� <br /> ,CJ � .�,_ � � - <br /> CONTRACTOR /' � - ADDRESS CITY2IP PHONE <br /> �— i.. / <br /> CONTR.LICENSE# ���LCI ` '"�� ��� �Ii, ! <br /> � - J - <br /> USE OF BUILDING I HEAT SOURCE_. - CONTRACT PRICE OF WORK <br /> + _ � ( I �Eleclric _Gas_Olher <br /> �`� i� e� n 'r < <� ! <br /> WORK DESCRIPTION <br /> (J Cl � `'� ��cn �L1 //I / �c �l P/1 �� cV�7 t � � G �-) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet A/C-air handling unils <br /> BalhWb Forced air systems <br /> _�_ Lavatory(wash basin) _ Gas piping <br /> �_ Shower _ Water heater <br /> Kitchen sink&disposal Gas fireptace <br /> Dishwasher Gas range <br /> Cloth�s washer Clolhes dryer <br /> Laun�ry tray Range hood <br /> Sink(service/bar/mop/etc.) �_ Exhausl fan <br /> Back(Iow preventer Heal pump <br /> Urinal Unil healer <br /> Drinking Founlain Boiler <br /> _ Floor drain Refrigeralion � <br /> Grease trap Woodslove <br /> Roof drains Olher <br /> � Olher _ <br /> CITY OF Eb'ERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilify that I have read and examined lhis applicalion and know lhe same to be We and correcl. All provisions of laws and <br /> ordinaces goveming this type oF work will be complied wilh whether specified herein or nol The granting of a permit does not presume <br /> lo give aulhority lo violale or cancel the provision o(any olher stale or Iocal law regulating construclion or the performance of <br /> construction.That I am authorized by lhe owner o(lhis property lo perform lhe work for which applicalion is made and I comply wilh ihe <br /> State Conlractpts Law 18.27 CW and 296.200 WAC. <br /> �,-' /) � , ^ <br /> � '— � / �T� •. � i �v �/ Z /G % <br /> Sigoature o(OG�inedConlraclorfAulhonzeJ Age ate � <br /> \IN <br />