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P`�r�MIT AP!'LICATIG�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERETT, VUA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> 7n / APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 F'M <br /> SITE ADDRESS PARCEL TAX I.D.k PERMIT# <br /> S�t22�IL L. M�1�' I L"T'EO�IY�.D �J�j( 'S 7D� - - G_ <br /> LEGAL LOT N0. BLOCK TRACT OR SUBOIVISION 7! <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE 4ZS.�..c�ry�6, <br /> C �T`i o� �v�2�'C�' 3z,�� G�i��12 =v�'C� wP�q�2c1 <br /> TENANT NAME CONTACT FOR PERMIT FHONE y2 j .`C�-�-�0 � <br /> GL�� L�a���'� E-MAII�ICl4t{S'1�0. F- .I`_ <br /> Z.` TRA TOR ADDRESS �TY21P PH C• -2W GFF�YR <br /> P2�Mi�,w CnNs�f? Gfto�P �'zq�j Zrs�N _rC�= E�T� `��� uis <br /> CONTR. LICENSE p r������ y i: S, •3��(�q�$ I <br /> �bM 1 CG \O � M K' ��''-T'-' <br /> USE OF BUILDING � -- HEAT SOl1,(2CE CONTRACT PRICE OF WOFK <br /> �o�F Ov�-2 S3-� �-�C-T Na►-��. �' �}Z 2-. � <br /> Electric Gas Other >9 ( $ , � <br /> WORK DESCRIPTION <br /> [f��+y[2uCC (ZoO�F' � C�f�.?S���C,- (`�aO CnYCRu1'E S�Ah7 �j�1C-:2 �� `�.�'�''�� <br /> sy�6� Ar�� wr,�s� s��..+��R� c�,�n�� M�•�.... Rmi. <br /> � <br /> i <br /> PLUM8ING MEC:HA�IIC�L - I <br /> NO. I TYPE OF FIXTURE OR ITEM NC. TYPE OF i�l%TURE OR ITEM <br /> Toilel FJC -air nandling units <br /> _ Dalhtub Forced air syslems <br /> _ Lavatory (wash Lasin) Gas piping I <br /> Shower Water heater � <br /> Kitchen sink& disposal . _ Gas�ieplace •^ <br /> _ Dishwasher Gas range tnr(,�� <br /> Clolhes washer Clothes dryer �� <br /> Water heater Range hood � <br /> Sink (servicclbadmop/elc.) _ Exhausl fan (�; � <br /> BackOow pmvenler _ Heal nump r 1' �S� <br /> _ Urinal Unit heater ��J ���Ju <br /> _ Drinkuig Fountain Boiler �4 <br /> Floor drain Refrigeralion <br /> Grease Irap Wrodstove <br /> Roof diains Other <br /> O�her <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerlify Ihat I have read and examined this application and know the same to be true and:orrect. P,II piovisions ef laws and <br /> ordmances governing this type of work will tre complied with whether specified herein or noL The pr:,oting of a permil does not presume <br /> lo give aulhority to violale or cancel the provision ot any olher state or local law regulaling construc:ion or the pertormance of <br /> consliuction. That I am authorized by the owner of lhls property to perform lhe work for which application is made and I comply with the <br /> $tate Gt�nliactors Law 18.27 RCW and 296.200 WAC. <br /> ,-, �, _ _ _ �-� I <br /> ///��Il • _ ' �-J� ��A-��... MUQ'. �'���11! <br /> y-`Sigiia u , wn � / B-nlrac�or/Aulhorized AgeM ale <br /> I �7 <br />