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--- � � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /� --r a-/ v <br /> SITE ADDR�SS M¢'Y-�Z� �L �EK �� PARCEL TAX I.D.# PERMIT# � <br /> ����� G- 6� M6tt'tLi��.�R�K �Y Zgo4oZoo3o150� .6�1b9'Dl� <br /> LEGAL LOT NO. Z • BLOCK TRACT OR SUBDIVISION# <br /> oEsc. ��kl, IPf"io►.1 oN � An1S <br /> OWNER DDRE S CITYIZIP PHONE <br /> wASNiaEcTa� �w�N�S �° vN�v�s�r�Y �f►.�eT- svrrc z62o ���6�3-�3A� <br /> Go�rfDr�i'• 1�ia �NDE'�Se Si?�Tfl£,w� 9SIo I <br /> TENANT NAME CONTACT FOR PERMIT PHONE X I I3 <br /> w�ez�F�-T�S,�Nc MexErJ� +fouf�ucND ��J z�6- 5z2-383 01 <br /> �Jdor1 Nlata+E�SB��`t►'� �475�742 ZeMZ TcA Af�tirf�G'fVR£'f� � E•MAIL MOVQAY1�1Q1YCA IeG. M <br /> C�TRA��R DDR C I P ONC <br /> N�f 'SE L�G�'� YE'f <br /> CONTR.LICENSE# � G L �n� <br /> Y( 'l 1 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PR�CE OF WORK <br /> "�jyynl��j`E� �-'�J�°R`r���� I _Eleciric �,Gas_Other I�3p� � �QOV <br /> WORK DESCRIPTION T£►a),� I N1�VEM�►St� '��R w�f(�7�TE�T�'„iG `�, �aG. '�iF SYi�E W�u" <br /> �NLWD£ Go1�i�61tEN� 1ComMS� GwSSD ��I�.�� oYEN O�'��GE -hREA'S�'RFLE.F''i1oh1 <br /> NEW.1-f�I�NtNf{1cs�sTt►oot+�Si �o$ar;Mo7ZY, tac�yr�N Ww�L.�i Y.,voM � haD S'P11� $'K'r'�� <br /> �T'SR�GD+��0�1 i- 'S£iC��Llbff o� 'MoE14� Wlf�ESZ�(�7M�I�`�1��'1' �jWyfEMS . <br /> N1GAL ��� d� IN 1 ol.t To VI J' � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> � Toitet _ A/C—air handling units <br /> Bathlub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower � Mt�-���1G��- _ Walerheater <br /> �_ itchen sink&disposal _ Gas fireplace <br /> 1 washer '+"'�L£G��L�'�' _ Gasrange <br /> Clot washer W�� ��R�.���'� ,_ Clothes dryer <br /> �_ Water h er `� _ Range hood <br /> l Sink (servic ar/mop/etc.) �jE�''���E.L7 _ Exhaust fan <br /> 8ackflow preve _ Heal pump <br /> � Urinal _ Unil heater <br /> Drinking Fountain _ Boiler <br /> �o Floor drain _ Refrigeration <br /> Grease lrap _ Woodslove <br /> Roo(drains _, Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify ihat I have read and examined ihis application and know the same to be true and correct. All provisions of laws and <br /> ordinances governing this type of work will be complied with whelher specified herein or not.The granling ot a pertnit does not presume <br /> to give aulhority to violate or cancel the provision of any other state or local�aw regulating construction or the pertormance of <br /> construction.That I am authorized by ihe owner of ihis propeAy to perform the work for which application is made and I comply with the <br /> State Contractor Law 18.27 RCW and 296.200 WAC. <br /> 4� �o I <br /> Signa e of 0 ner on ctor/Authorized Agent Date I � <br />