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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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � .�/O — O� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT� <br /> 1q08 Pc�c��c f4v�• DO'-1390��1002�1�� � 4o7- no <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITVIZIP PHONOE <br /> �-Ilzfo Sere��p ll�y. (,y�nwvcd `��5 3> <br /> TENANT NAME CONTACT FOR PEttM1T PHONE <br /> -,-�.� s,��., Post q <br /> 14- Cx v�Css Qcu� l3c�ds �rie �3l�wt e.n�a�S�9nPosf�iwe �w�s * <br /> A <br /> '�'1nr S«iin V�ds� She• 20l`� E. 13ake�v�a.� Rd, i3etl��c�,c� "360-(�71-(3�J3 <br /> CONTR.LICENSE# {�8�'>� <br /> SIGNP� ME065MM <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric Gas_Other <br /> �75oO.On <br /> WORK DESCRIPTION � <br /> �.25�-ti.11�;..� � r�o� - i ����+,i ,..c���d U/all�u.�� fau..v�i ��g <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C—air handling unils <br /> �athWb _ Forced air systems <br /> lavatory(wash basin) _ Gas piping <br /> � Shower _ .Naler healer <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Cbthes washer _, Clolhes dryer <br /> Waler heater _ Range hood <br /> Sink(service/badmop/etc.) _ Exhausl(an <br /> Backflow prevenler _ Heat pump <br /> Urinal _ Unit healer <br /> Drinking Founlain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease trep _ Woodstove <br /> Roo(drains _ Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I herebvi cerilify that I have read and examined this application and know the same to be true and correcL All provisions of laws and <br /> ordinz.;es governing Ihis rype of work will be complied with whether speci(ied herein or nol The granting ot a permil does not presume <br /> to give aulhoriry to violate or cancel the provision of any olher state or local law regulaling consWction or the peAormance of <br /> construction.That I am aulhorized by the owner of this property lo per(orm lhe work for which application is made and I comply wilh the <br /> State Conlractors Law 18.27 RCW and 296200 WAC. <br /> Signalurs of OwnerlCoNraclorlAuthorized Agent Dale <br /> �r' <br /> K- <br /> �-__".__ . ._ . . -__-_ "-_" __ _._ <br />