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'i ' P�.RMIT APPLICATIC.J <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 � _ _. <br /> 425-257-8810—FAX 42&257-8857—www.everetlwe.org L� 7� , �- � <br /> �J � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM j <br /> SITE ADDRESS� ^'�1` � PARCEL TAX I.D.A PERMIT A � � <br /> ��� � ,� �'�� <br /> LE LOT N0.�� SLOCK TRACT <br /> UESC. <br /> OWNER � ��� !/�DRES��$o • r/E�� P PHONE � ,�yt� <br /> I`N%� �'iV l�S��iU' 9��' <br /> TENANT NAME CONTACT FOR PERNIT PHONE <br /> I 81�.t�'-'�la.�/ heJ �2S-?5�l - f <br /> CONTRACTOR �(� /J��Q DDRE85 �m'roP '/�rN�� ���0 <br /> CONTR.LICENgE L.JII a��-�`f�'� -/�� ����I� G�C�c�V�'�7 ��' <br /> USE OF BUILDING NEAT 80URCE CONTRACT PRICE OF WORK <br /> I _Eledric �es_Other <br /> WORK D SCF RIPTIUN � <br /> c(�ULC'� �05 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> � Toilel A/C—eir hendll�g unks <br /> � Bathtub Forced efr systems <br /> lavetory(wesh besln) -��. Gas piping <br /> ►. Shower L, Waterheeter <br /> � Kitchen sink 8 disposel 1 Ges fireplece <br /> ,� Dishwesher .L Ges range <br /> Clothes wesfier 1 Clolhes dryer <br /> _ Leundry trey _L- Renge hood <br /> � Sfnk(service/bar/mopletc.) Fxheust len <br /> Beckflow preventer Heet pump <br /> V Urinel ��„ Unilheater <br /> _ Drinking Fountain Boiler <br /> Floordreln _ RefriperaUon <br /> Greese trap _ Woodstove <br /> Roof dreins — �B� <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE 19 7706 <br /> I hereby ceritify lhet I have read end exemfned this epplicaHon and know lhe seme to be We end correct• AU Pro`�isiw�s°�N��r.d <br /> ordinaces goveming th(s type o1 work will be complied with whetlier epadfied herein or not.Tha grentlng of a pertnfl doea rwt pra�m° <br /> to give euthority to violete or cancel the provision oi eny other stale or locel lew reguleting conaWedon or tl�e performance of <br /> consWction.Thet I em euthorized by the owner of lhis property to parform the worfc tar which appllcaUon Is mede and I complY`�1h° <br /> Stele ConUactors Lew 18.27 RCW and 286.20D WAC. <br /> -, jl�,�1r � <br /> S'ig�ewre o erl on�a hl o�ir zetl genf 8�6�F8 �/� <br /> � <br /> ; ,� <br />