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; � — <br /> � PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I425-257-8810– FAX 425-257-8857 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS � B� ��BCDG pARCEL TAX I.D.# PERMIT# <br /> I (��,oa .ME�u.crz�EkF�el�wh�{a•4oa �� ' � -� <br /> ILEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE gQFNT'LDW6Q <br /> I�TA�EIi C��N I�tOc-�INC� �00 UNIJERSrT�( 5(tLEET'� sE�t,ns <br /> N � �sv �r� z8zo q �r� ot 206 6�3 5300 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �IG�1�U-J I �I� $USHf RKk 86TTGEtZ 4z5�757444- <br /> � <br /> CONTRACTOR S�� '� ADORESS CITYIZIP PHONE <br /> CONTR.LICENSE N <br /> USE OF BUIL�ING HEAT SOURCE CONTRACT PRICE OF WORK <br /> c,omMEv.b�st.�NF�k6QrU�rtcrl X �... ovr� �►,,p�oy�s <br /> Eleclric Gas Other <br /> WORK OESCRIPTION • �SOGL� � I� � LOIJ b ��tJG 545'C'�Yl�t- � <br /> IM�O�►� pv� L.v�J� -re2wt P.j1-ucs �rLow� ovrc GveQ�NT' ►-.o�A-n�or� <br /> I IN /tiYOUNTLAKE 'T�T2R�1(.E "t"� � OIJ�- NEW P�IN� FtE�D �t�l'1LoN IN <br /> � �II�i��IT: OU�. W►�REN'�I�G+�SA►� T�f�Nc AS -rH� R�4-ck5 � I..pw�5 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> I Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavato wash basin Gas piping <br /> = Showe�( ) W�Q��u�D FO e = Water heater �� �M��V�'EN� <br /> Kilchen sink 8 disposal t� �N�w� Gas fireplace w�-�� ���(��L(7'M <br /> Dishwasher Q�U, trn � _ Gas range <br /> ; — Ciotnes washer w' ' r f„N"�`�� �D�� _ Clolhes dryer OF�ti� LJlND�DRD�D{JF�IE <br /> I _ Laundry tray _ Range hood �.�,g�NGT�N ttgl-�iNG <br /> Sink(servicelbadmopletc.) _ Exhaust fan ____. _ __ - -- ---- <br /> Backflowpreventer _ Heatpump P�{�� �pt}� pEp�ri�TwMS <br /> � _ Urinal _ Unithealer ,Y_L��FOe (�y r�,�7f1WG <br /> _ Drinking Fauntain _ Boiler T�� �«J <br /> _ Floordrain _ Refngeration ��$UL�N'(�. I <br /> . __ Grease trap Woodstove <br /> Roaf drains Other rall�k 2acl`,�� <br /> _ Olher _ �LFc� c n..���eyc � <br /> -- _ �ic!LL-�.c' �, <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS J705 I <br /> � I hereby ceritify that I have read and examined lhis applicalion and know the same to be true and correct All provisions oF laws and ' <br /> � ordinaces governing this type of work will be complied wilh whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction. That I am aulhorized by the owner of this property lo perform the work for which applica[ion is made and I comply with the <br /> SWte Contractors Law 1627 RCW and 296200 WAC. <br /> �ryy��G___�NG�t,.._ 6(�RstrceNs ; 2�8�Zo 0 5 ( <br /> S�,gnature of Otivner;ConV.ctodAutnonzed Agent �ate � Z <br />