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. i <br /> PERMIT APPLICATION <br /> CIT'Y 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&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> � u— 80 oZoc-5 0 �cm p �jQ-p3 � <br /> LEGA LOT N0. BLOCK TRACT <br /> DESG �e� C <br /> OWNER � ���` ����5 AODRE55 CIN/ZIP PHONE <br /> � �m �r���smj sr ssarr�E Rd,� �n� <br /> SJ rrE ZSZo 98to� �2c�-) 4�'S��i'S�S � <br /> TENANT NAME C�1N��R P��:S��S� PHONE ' y,1 <br /> Z,l�� I EZ I C�o U+i�C.E �ELLER AF'�+iiT�TS `�/��'��iZ7• ZS'S'tj <br /> CONTRACTOR 5�` Cb��A�o� qDDRESS CITY2IP PHONE <br /> �yoi N. 2�h Sr, s�PruaE <br /> CONTR.LICENSEC SUAGO ,}c�o ay gs 98i7� `�' �S��j�2�q� <br /> USE OF BUILDING 5_� S'�.�y�„E� HEAT SOURCE ONTRACT PRICE OF WORK <br /> �fi`�,1SL' t3 • o�Ft�E a� <br /> _Electnc �Gas_Other ��-��c'�'� • — <br /> WORKDESCRIPTION �i���..E �,HL�S� 1�i '$�'�ICS,ZI�r� l WP4{�Ne+)S� �C- <br /> ZJHn�E,—z ccA-r,-),,.cc� n.No s�P�rs Accx�ss�iEs. <br /> i PLUMBING MECHANICAL <br /> ND. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> ��_ Bathtub Forced air sys�ems <br /> � Lavatory(wash basin) Gas piping <br /> \ Shower Water heater <br /> `. Kitchen sink&disposal Gas fireptace <br /> _�ishwasher Gas range <br /> _ ClOthes washer Clothes dryer <br /> La� dry iray Range hood <br /> � _ Smk��ervice/badmopletc.) _ Exhaust fan <br /> Backflo�v reventer Heat pump <br /> Urinal Unit heater <br /> Dnnking F�ain Boiler <br /> Floor dram Refngerelion <br /> I = Grease trep _ Woodstove <br /> Roof drains Olher <br /> I = Otner . _ <br /> \ <br /> CIN OF EVERE7T LOCAL SALES TAX CODE IS J105 <br /> I hereby centify that I have read and examined lhis application and know the same lo be true and correct. All provisions of laws and I <br /> �; ordinaces goveming ihis type of work will be complied with whether specified herein or nol. The graMing of a pertnit does not presume I <br /> � to give aulhonty!o violate or cancel the provision of any olher sta�e or local law regulating construction or the perlormance of I <br /> construction.Thal I am authorized by the owner of ihis property to pertorm the work for wfiich app!iration is made and I comply with ihe <br /> State tractors Law 78.27�.iGW and 296200 WAC. i <br /> n Wreof�actor/AuthonzetlA ent `- ,/�//O� � I <br /> 9 a�e � <br /> I <br /> I <br />