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i <br /> 1 <br /> PERMIT A�'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE T, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT p <br /> f9XX /1�7e�2c>E /�l�c ^�54SC��z7UZ8� ��(��)`j-�� <br /> LEGAL LOTNO. BLOCK Tk : �i <br /> DES0. 7gZ Z �' �1i�Hr/2�T / /!/ g �� <br /> OWNER ADDRESS CITY2IP PHONE <br /> 1/uCIF /rl�N`�/ l 1(9,�l�xi��c A� �v�tn-rr�/�. p�,3 �"g9ei <br /> C 7ENANT NAME CONTACT FOR PERMIT PHONE <br /> � <br /> � CONTRACTOR ADURESS CITY2IP PHONE <br /> l�v,v��-�+-� f3�C ��t 1��� xy� �=S�-, �v�-,,�vg��29a ��-s-�o-s�.o <br /> CONTR.UCENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> G�� • �/O//G <br /> �C Eleclric Gas Olher <br /> WORK DESCRIPTION <br /> p�,to�r-�-( G�rZ.,�G�= .Coc�9-i�=0 /}-r ! '���i/rd,v2ac: <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposal Gas firepiace <br /> Dishwasher Gas range <br /> Clolhes washer Cblhes dryer <br /> Water heater Range hood <br /> Sink(service/barlmop/etcJ Exhausl tan <br /> Backflow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roo(drains Other <br /> Ofher <br /> CITY OF EVERETT LOCAL SALES TAX GODE IS 3705 <br /> I hereby ceriti(y lhat I have read and examined this application and know the same to be true and correcl. All provisions of laws and <br /> ordinaces governing this rype of work will ba complied wilh whelhar specified herein or noL The granting of a permit does nol presume <br /> to give authorify to violate or cancel the provision of any other state or local law regulating conslruction or the perf.,rmance of <br /> conslruction.That I am authorized by tho owner o(lhis property to perform lhe work for which applicalion is made and 1 comply with lhe <br /> State Co reclors Law 18.27 RCW and 296.200 WAC. <br /> - � � � <br /> ignat of OwneqContracl utho Age � �a <br /> —�'t�Ltrj•t'�/(� _ '��l <br />