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( <br /> 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 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> PARCEL TA%I.D.# PERMIT <br /> SITE ADDRESS I Lp �. � 1 ' I C� <br /> (�,3ou ��cF¢��� Latti� PAE�u/;y Z`tio4u'LCxSSo�SuO <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER <br /> ADDRESS CITY2IP PHONE <br /> m�,:e��.�. C'rc��� t-la-��N,:: L� � , <br /> G�oO �N o �i�iy S7 d ZRZ�� xR7Iu' GUB B!� PHONE <br /> TENANT NAME CONTACT FOR PERMIT <br /> Z vrn�Ev I K�c� 3ac�czo�.. <br /> ADDRESS CITY2IP PHONE <br /> CONTRACTOR �,�ESr;,,ur�.�zs T„�� �, <br /> 14i�s i� srE S�n,Nuz�ln9e�*� �3-Yz� -����•r <br /> CONTR.LICENSEi1���� �. �?8C��S <br /> USE OF BUILDING <br /> HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric _Gas_Other ��G U <br /> Wn rt�H�Jb,E <br /> WORKDESCRIPTION � �A�.� F�2C�i�'�'-�u��,£.Z P��'��.iL- 1JNJE+i �EWCA�T[D ��Z-2AiJ�tiC. <br /> �c-Ta �- <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM <br /> NO. TYPE OF FIXTURE OR ITEM <br /> A/C—air handling units <br /> Toilet Furced air syslems <br /> _ Bathtub Gas piping <br /> Lavarory(wash basin) — Waler heater <br /> _ Shower ��(� �-� — Gasfreplace <br /> _ Kitchen sink 8 disposal J�P � M Gas range <br /> _ Dishwasher � Q �,� — Clothes dryer <br /> _ Clothes washer OF OC� ��� Range hood <br /> _ Laundry tray `� r '�J Exhaust(an <br /> _ Sink(service/bar/moplet�\ ,,,`�0 '' � Heal pump <br /> BackFlow prevenler ���`�` ��� ' — Unit heater <br /> Urinal — Boiler <br /> Drinking Founlain a F��-- — Refrigeration <br /> Floor drain ' Woodstove <br /> Grease trap Other <br /> Roof drains — <br /> Other — <br /> CITY OF EVERETT LOCAL SALES SAX CO�E IS J705 <br /> I hereby ceritify that 1 have read and examined this application and know the same to be lrue and currect All provisions of laws and <br /> ordinaces goveming this type of work will be complied wilh whether specified herein or not.The granting of a permil does not presume <br /> to give authoriry to violate or cancel the provision of any other stale or local law regulaling construction or the performance of <br /> construction.That I am authorized by the owner of this property to per(orm lhe work for which application is made and I comply wilh the <br /> State Contractors Law 1827 RCW and 296200 WAC. <br /> 4� �z ; o ;�. <br /> "''"'�� ate <br /> Sg ture of wnedContractodAuthorized Agent <br />