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PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8657 - www,everetbNa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���� �-�� <br /> SITE AD ES PARCEL TAX I.D.� PERMIT p <br /> � 5 � � �. co �3� �ca o r3o�- ar8 <br /> IEGAt LOT NO. ALOCK TRaCT OR 3UBDIVISION A ' <br /> OESC. <br /> OWNER ADORE55 CIT'/LV PHONE <br /> �cr�J YY1�n ►1on �GLGL-- --- ��5� a,5a • aa4� � <br /> TENANT aNE CONTACT POR PE�R61"1T PFIONE ,�D� .,�a�� '�Q�OO <br /> I�fYV Z !U Cy t/�1.7�.a.r1 � �•�' n.no..�l <br /> CONTRACTO EJWAI IY�/<<1� <br /> .`{�M)�1 � ' 1'� ADURESS l��.CI I Clly! P UNE � . <br /> PL :�.�1-L �Cyc �`��: �1C r•.c� <br /> CONTR.UCENS[� c� 1 /� C� <br /> UC Li�X11'�0.`�1�-� � 1�� <br /> USE OF BUILOING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _ 5�-- 2 ;Eiectric _Ga:_Other �� �\'� <br /> - v <br /> WORK DESCRIPTION -- <br /> � 1 ti1 S.� � I �pvt.11 f s s �-�� pu ,r,v� <br /> PLUMBING MECHANICAL <br /> NO. ttVE OF FIXTURE OR ITEM NO. TYpE OF FlXTURE OR IiEM <br /> To�iel _ q!C-�ir handlm units <br /> _ BAlhtub � ForcCE air sy5lems <br /> _� Levatory(wash basin) ` Gas piping <br /> _ S�avror Wa(er heater <br /> _, Kitcnen sink E disposal Gn� firepinee <br /> _ Dishwa:her <br /> , Clothos wa�hcr ` Gas range <br /> __ Water heMe� __ Clothp;dryxr <br /> , Smk(sxrviu/Cadmop/etc) _ Range hootl <br /> _ �ackAax preventet Fxhaust fan <br /> Urinal Z Heat pump <br /> _ Ormking Faunhln � Un2 heater <br /> Floordrain _.,_ Ooilor <br /> ,_ G�ease trop � Refriprrahon <br /> Roof dra�ns � Woodstovc <br /> __ Olhcr .__ Ot�cr <br /> C�1Y OF EV[RETT LOCqL SALES TAX CODE IS�105 <br /> t he�eby cert�ry�hat i have read ond examined this apphcmion and knuw�be same lo be we and cprted. All provislons of laws anG <br /> ordinances qoveming th�s rype of work wiq De compl;ed wiN whether specdieci herein or not The granting at a permit dces noi presume <br /> to glvr auMority to violate or cancel the pmHeion o�any omer statB or loal iaw regulatln9 wnstn��,icn or tne perfom�ance of <br /> con efion. That I am authonz tl by the owr,er of thfs pmperty to rtn Ihe w�ik(or whieh appGcalion is made and I comply with the <br /> Sfate onlractors Law 18 2) N and 2a 200 WAC. <br /> � `�- I ► 13 <br /> � ature m CrlCOMlACt f/AU onzetl Agent <br /> oate <br />