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P�r�MIT APPLICATIG.� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-9857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ,�`� �`-� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> UUz C�kPs Fwe fve.cta ,tdA �18zv� l -C7l <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION A <br /> DESC. <br /> OWNER ADURESS CIN21P PHONE <br /> �2OGo� S0�-��I7�7 <br /> Cl.,;,. l�s p��L�:,e �ooz �urAs R�e �,.eiet+ G�L�I <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E�MAIL <br /> TR <br /> /� $a tda� l!dof,�,c� C � y�2tn A,�/�v�t W.� � Ss.�.V^�t�' <br /> CONTR.LICENSEN � ngl�� <br /> ..1 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �,`v _Eleclric k Gas_Other �� �S ' �3 <br /> rn (' <br /> WORK DESCRIPTION <br /> � C/��a cP �ud(' �^I�„�-h) pS <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITE�1 NO. �TYPE OF FIXTURE OR ITEM <br /> Toilet AfC-air handling unils <br /> �athlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kilchen sink& disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clalhes dryer <br /> Walun c�alcr Rango hood <br /> Sink(scrvice/badmop/elc.) Exhaust lan <br /> �acAllow prevenler Heat pump <br /> Urinal Unil heater <br /> Drinkinc� FouNain Boiler <br /> Floor drain Retrigeralion <br /> Grease lrap Woodstove <br /> Root drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br /> I hereby ceriti(y thal I have read and examined this applicalion and know the same lo be true and cortecL All provisions of laNs and <br /> ordinaces c�overning this lype of work will bo compiied with whelher speci(ied heruin or not.The granting o(a pormit does nol presume <br /> to c�ive authorily lo violale or cancel lhe provision of any othor state or local law regulating conslruclion or the perfortnance of <br /> consiruclion.Thal I am aulhorized by Ihe owner of this prope�y :o peAorm lhe work for which applicalion is made and I comply with Ihe <br /> State Conlreclors Law 18.27 RCW and 296.200 WAC. <br /> /`'',/ / ,� �� �i`'�/U °I <br /> Sig I�v���l" 3wnedConlractodAuthorized Ayent Date <br />