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PrRMIT' APPLICATIt�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Ja -i6�-O.F� <br /> SITE ADDRESS PARCEL TA7(I.D.# PERMITO� (� n/'� <br /> 23 03 r����,�� /-�� v•, <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �I✓�c� C��,w�-1-� z o3 {�.t� .C�� FA.w �.�..-�- wA- <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR �� ��,�� ADDRESS ��CITY3 IP HONE n <br /> � ��ni.c..3 'ZOcj�i2 NL � u rSV– �w.o�-R �� <br /> CONTR.LICENSE# �� /,��s/o� 5 gns7 - y 2S- rd6`a-��'�/z- <br /> TuOM�LL �?2> ! <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric X Gas Other ��O �— <br /> WORK DESCRIPTION �` / / <br /> �Z P,S"= �r.:._.S /'i..�w �f-vo.�-� ,'l.e_w .'vL.._d-cr �e� � ✓Ltl.✓ <br /> r`��,� Nt.��-� 300 �� �2,�,� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTLRE OR ITEM NO. TYPE OF FIXTURE OR�TEM <br /> Toilet NC–air handling unils <br /> Balhlub Forced air syslems <br /> Lavatory(wash basin) � � Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal Gas tireplace <br /> Dishwasher Gas range <br /> Clolhes washer Cbthes dryer <br /> Water heater Range hood <br /> Sink(serviceNar/moplelc.) Exhaust tan <br /> BackOow prevenler Healpump <br /> Urinal Unit heater <br /> Drinking Founlain Boiier <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains _ Other <br /> Other <br /> CITY OF EVERETT LOCAi_SALES TAl(CODE IS 3105 <br /> I hereby ceritify thal I have read and examined this applicalion and know lhe same to be true and correcl All provisions of laws and <br /> ordinaces governing lhis lype of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give aulhonly to violale or cancel lhe provision ot any olher slate or local law regulating construction or the performance of <br /> construction.That I am autliorized by lhe owner of this property lo pe�torm the work tor which application is made and I comply with the <br /> Stale Contraclors Law 1827 RCW and 2�J6.200 WAC. <br /> _��--c_I/C r�ri+��� ��/ <br /> Signature of wn dContrecrodAuthonzed Agent Date <br />