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-� � <br /> PERMIT APPLICATION <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 -DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br /> S TE ADDRESS I,93D m�RAI�L � �� PARCEL TAl(I.D.M PER�IIIT M , <br /> ?�Kwky, ��ei�rr wk ��zu3 ZSO�DZD0�0070U ��` <f <j�> <br /> LEGAL LOTNO. BL CK TIR'ACT ff, <br /> DESC. 6 I N�R ORP —�� �/�� <br /> OWNER ADDRESS CITY2IP PHONE <br /> PµIL LRRTER 6Z0 K►RKI.l��� WAy s-l� ZDI Ki�.K�AND 1�k 2Q6-321-011Q <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> GuIkRO�f�N kE�OR05 I ��rsda LE�r.i zs��o�-o�o¢ <br /> CONTRACTOR ADDRESS ITY2IP PHONE <br /> C�OAR RE�YC�I/�1 G ING. �-II w�sT VR1.L�Y NwY �A[IHG�wA 1,5'���-090�' <br /> CONTR.LICENSE N � CD !�R 1C��+O� � � �xP Z'►�-46 <br /> G <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S�I VN/T/�E HOHSE _Eleclric _Gas_Other �b// S�I � O� <br /> WORKDESCRIPTION /�{SSEm �E � ST� S LG� K <br /> -�iT14L. 79- ��YS G�►NG� 64 " OE�f z 10' bv10� � �0' ?aLL, <br /> u/p PLUMBING MECHANICAL <br /> Np, TYPE OF FlXTURE OR ITEM NO. ��/� TYPE OF flXTURE OR ITEM <br /> Toilet _ AIC—air handling unils <br /> Bathtub _ Forcedairsystems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower ,_ Water heater <br /> Kitchen sink 8 disposal _ Gas lrepiace <br /> Dishwasher _ Gasrenge <br /> Clothes washer _ Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(servicelbadmop/etc.) _ Ezhauslfan <br /> Back9ow pre�•enter _ Heal pump <br /> Urinal _ Unit heater <br /> Drinking Founlain _ Boiler <br /> Floor drain _ Refrigaration <br /> Grease lrap _ Woodstove <br /> Roofdrains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i hereby ceriti(y ihal I have read and e.�amined this application and know ihe same to be true and correct. All F ovisions o(laws and <br /> ordinaces goveming lhis type of work will be complied with whether specified herein or nol.The granting of a pertnit does not presume <br /> to give authority lo violate or cancel the provision of any other state or Iocai law regulating construclion or the perfortnence of <br /> conslructio .That I am authorized by the owner of Ihis property to perform lhe work for which appiicatbn is made and I comply with Ihe <br /> State C r�ctors Law 18.27 W and 296.200 WAC. <br /> Sig t OwnedContraclor�lA/u�t�ho/nzed Agent Date �,Z <br />