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1P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL T/ll(I.D.# P RMIT# <br /> 221� v�n���.itil, CCL�� OZ Z$ ��t 3 Oo°� c�n c�� �- <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHJNE <br /> q25 21p 1 10Q"� <br /> L'1VNNl� �\E 221`j \v��R�1�L (�.t�l'— '�CS9v �V1��'�"T� <br /> TENANTNAME CONTACTFORPERMIT —� PHONE <br /> ��tiu���v iz- i���u;-.�,y 17DV (a IGOFFOIZ� 505 '11� ZZo L <br /> CONTRACiOR ADURESS CITY2IP PHONE <br /> CONTR.LICENSE# � /�1 ,9 il�� �������. <br /> � /LC// � <br /> USE OF BUILDING — HEAT SOURCE ( CONTRACT PRICE OF WORK <br /> Eleclric Gas Olher �('1�,�) <br /> — — �. <br /> WORK DESCRIPTION <br /> K�MWG t-X1'�ZlNtl(W���C �1j"L-I�r�s , �t-N1��jG �Kt'7cII-��ab�ClNLaIJI/�Iz �l�h1n1A <br /> /v:,� �r�`T�h�. � 1��,�U �NNp-� i �� '+pA'' r��ITivN�w !�-P�w� ti � U <br /> I��l FC''4-M �-t:�v'f,,Ji, C1NC1vt,b,fL- GLF�11-�tT<i � �I.IGU: v'G"t.. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitclien sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Cblhes dryer <br /> Water heater Range hood <br />� Sink(service/bar/mop/etc.) Exhaust fan <br /> Bacic(low,ravenler Heat pump <br /> Urinal l)nit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease trep Woodslove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> t hereby cerilify lhat I have read and examined lhis applicalion and know the same to be true and correcl. A�I provisions of laws and <br /> ordinaces governinc� lhis lypo of work wili bo complied with whether specified herein or not.The granting of a permit does not presume <br /> to givo aulhoriry to violale or cancel the provision of any olher stale or local law reguialing consWclion or the performance of <br /> conslruction,That i am aulhorized by Qio owner of this property to periorm lhe work for which application is made and I comply with lhe <br /> State Contrectors Law 16.27 RCW and 296200 WAC. <br /> --���i1� `1� 1 ��J l �O f�_ <br /> Signat�u oTO� / on 8ctodAuthorized Agent D le <br /> ��� <br />