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P�RMIT APPLICATIGnI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881C - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � Z `a ��/� <br /> SITE ADDRESS PARCEL TAX I.D.A� FERMIT IF <br /> - �y3�o�5vcnioc� S�o �a -oll _ <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION q ( <br /> DESC. <br /> OWNER ADORESS CITY2IP PHONE <br /> �-G.Pb 1 �'1 J�i„�o.,�-'� LLC Iotiy�,rQ �'�1-. -Ever��f�v l <br /> TENANTNAME CONTACTFORPERMIT PHONE,3(c+U'(o7I' 3 3 <br /> Il' ��I'1- . '� !'. I Ie. ��/ l�P�'l�� E�AIAIL�} !cY\"'M� -�,��T <br /> RA O � A66R��` 2 P �'T— <br /> i � S:y ���� �vi� ,����;P..� e� -�u:R,h�.,, 3G�o-G7/�/3�! <br /> CONTR.LICENSE#S���Q� �DbS m�1 9�aa-�, <br /> USE OF BUILDING I fiEAT SOURCE CONTRACT PRICE OF WORK <br /> '/���J,}���, __\ _ _Electric _Gas_Other �5 � ,C�� <br /> �_ 4-r�� 1 <br /> WORK DESCRIPTION 1 n��� `; lO ��(ta M i v �,(\U fv`g.N1 � ��7 � • <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilcl A/C—air handling units <br /> g2p���U Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas tirepiace <br /> Dish�vasher Gas range <br /> Clothes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(servicelbadmop/elc.) _ Exhaust fan <br /> Backfiow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinkinc� Fountain Boiler <br /> Floor drain Refrigeretlon <br /> Grease trar Woodstova <br /> Roo(drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilify lhat I have read and examined this application and know lhe same to be lrue and correct. All provisions of laws and <br /> ordinaces governinc� lhis lype of work will be complied wilh�vhether specified herein or noL The granting ot a permit does not presume <br /> to give aulhonly lo violale or cancel tho provision of any olher state or local law regulaling construc�ion or the pedormance of <br /> conslruclion.That I am authorized by lhe owner of lhis property lo pedorm tha work for which app.iwlion is made and I comply with the <br /> 5Rrte lractors�a�v 18.27 RCW and 2 .200 WAC. <br /> �;s�.,�%�ti ����� I ru <br /> Sig ur wneu ontrac or Authorized Agenl Date I/2 <br />