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F�RMIT APPLICATIVN <br /> CITY OF EVERETT PEIRMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � — 9 —O� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> �g o oAKEs �1�E 07/Z <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION k <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE �/j j.a,re7-(fl�e� <br /> C HuP 5�11X �oe CAQpf,� e-Ma� <br /> Z`6ATRALT6 �ARSNhltC S/G.�S �N�. �p1113 E�EiE'J7 AoE E�FC�T Nll�.ifi7—G9• I <br /> CONTR.LICENSE p ��ns�,Sz�eQ KF — UQI �oZ �7 � � 7 �' t � <br /> USE OF BU�LDING I — HEAT SOURC° CONTRACT PRICE OF WORK <br /> Eleclric Gas Olher r+ �� l'� <br /> WORK DESCRIPTION <br /> �Nf7'A«lNl, �� a'G� ME;H�- SIG,c, To fAST S/�E OF Cft,/Cvi,o� . <br /> �� �Tn�wG6rf 74B�av X 3H �A �� �uhs Fcf� wA�c Tr.trEKc . CAe�E u�Rr -r�Pa Qe,ro�, k2 <br /> A sqvr�Fi`• <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> BaUitub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink&disposal �, Gas tireplace <br /> Dishwasher Gas range <br /> Cblhes washer Clolhes dryer . <br /> Water heater Range hood <br /> Sink(service/barlmop'elc.) Exhausl fan <br /> Backflow preventer Heal pump , <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Re(rigeralion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> �ITY OF EVERETT LOCAL SALES TAl(CODE IS 9105 <br /> I hereby cerilify lhat I have reaG and examined this application and know the same lo be true and correcl. All provisions of laws and <br /> o�dinaces governinc�lhis type ol work will be complied with whether specified herein or not.The granting o(a pertnit doos nol presume <br /> lo nive'aulhority lo vioiate or cancel the provision of any other slale or local law regulating construction or lha peRortnance of <br /> constr�iction. at i am authorized by ihe owner ot this property to perform lhe work for which application is made and I comply wilh lhe <br /> Slale ontra�rs Law 18.27 RCW and 296.200 WAC. <br /> ��l.�'� (i�.oti`---- �d- Y"o 7 <br /> SigrkiWre Pf Owner/Contractor/Aulhorized Agent Date �{2 <br /> 1 f <br />