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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 6 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.t! PERMIT# <br /> 7.7 ,_,;� �ir <br /> �J✓ �,�� i- ci� G 2$0902A730�S00 `i� - <br /> 'Zt:l�l, �, k��„ 4�'.�'1;'��/ �, <br /> LEGAL LOT NO. BLOCK TFtACT <br /> DESC. SrF I�S�1lVihEi <br /> OWNER ADDRESS qTY21P PHONE �.(-�•�I�"S„�C <br /> v:���y' -� ��r+� ?R� � �' <br /> �_ <br /> �,.;��j:�K.',�y u;�L�l�kii r•.?L� l�U� ��finLc ICi t3� <br /> TENANT NAME �I CONTACT FOR PERMIT PHONE <br /> rWJU T�� I 1�`��7 111 \ ��0�\� <br /> CONTRACTOR ADDRESS CITY2IP PHONF„�� 1� . . <br /> 1�f�.4Ct�LIJSG'h( �01'}��ttiv 1�3� ��ei` 1`�V�'J;,� N 1'�1�/I� �U��i� � r'��_,-� � � <br /> CONTR.LICENSE R <br /> .:.�zr�sr�:;c�s�,� <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eledric �,Gas_Other � I��al • � <br /> r , (y- N� �i�- rrTn �N�" <br /> WORKDESCRIPTION �RS�L ��_�C G"TON AG �CGPiGP L*1'T !1�1D '�nf-� }-�N ��J!TH � <br /> � I <br /> .�;.SiAL1hlIC��V �,Js= v!J� . � .c �1�51"1f--1,�,k' !� r�y r�-'E45L'� <br /> -i'�'i.`1�1��P 1�'ll����?'L' ti' fiRTs� INSih'..Lql"�GN �� G1v,_ N'.,lv - <br /> ''Nn !��'�L�N� � �✓� MECHANICAL <br /> PLUMBING <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet I A/C-air handling units <br /> Bath�ub _ Forced �ir systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Water healer <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dist�washer _ Gas renge <br /> Clolhes washer _ Cblhes dryer <br /> laundry tray _ Range hood <br /> Sink(service/bar/mopletc.) _L Ezhaustfan <br /> BackBow prevenler _ Heat pump <br /> Unnal _ Unit heater <br /> Orinking Fountain _ Boiler <br /> Floor drain _ Refngeration <br /> Grease irap _ Woodstove <br /> Roof drains _ Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TA7(CODE 151105 <br /> I hereby ceritify that I have read and examined ihis applicalion and know ihe same to be true and correct. All provisions o(laws and <br /> ordinaces goveming lhis type of work will 6e complied with whether specified herein or not The granting of a pertnit does not presume <br /> t ive authonty to violate or cancel the provision of any other state or local law regulating constraction or the perfortnance of <br /> ��co struction, Th am authorized by the owner of this property to pedorm the work for which application Is made and I compty with the <br /> St e Contr cto L w 7827 RCW and 296200 WAC. <br /> _J ?C� C_;�, <br /> i naW onlractorlAuthonzed Agent Date <br /> I <br /> 7�� <br /> � - � _---- -- <br />