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( � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERET7, WA 98201 <br /> 425-257-8810— FAX 425-257-fi857—w-,�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMITA <br /> a�io r�z� �;� ��� ff C�5 Hy� ol�loi ,�oa G �� - ��� <br /> LEGA LOT NO. BLO K TRACT I r <br /> DESC. I� ,� 1 I� � - �)2 �0.� '� �T �� (�f.�.Vf$ r <br /> OWNER ADDRESS CITY2IP PHONE <br /> �aV;cw cc,n+r�c+�rS 4�c �0 3oK ,20�13 [ue�c+�f 91'2i3 �I.ZS-v°7G• 72Y7 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> MAi� Qecl< <(zs� ��o- 7zv7 <br /> CONTRACTOR jW�c�UiCi,.J Cc�na�c1-c�S ADDRESS CITY2IP PHONE <br /> CONTR.LICEN5EN �.0 (3�X ,2GY,�j rvtlea4 �/ZS•c�70 � 72'/7 <br /> SU��voc� ssr KQ 98a�3 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> S (— �, _Eleclric ,Z Gas_Other � � 3� CC��j <br /> r <br /> WORK DESCRIPTION� <br /> � ^„ � � <br /> y� <br /> 3��� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYpE OF FIXTURE OR ITEM <br /> 3 Toilet A/C—air handling units <br /> d Bathlub = Forced air systems <br /> � Lavatory(wash basin) Gas piping <br /> Shower � Water heater <br /> I Kitchen sink&disposal 1 Gas fireplace <br /> f Dishwasher J_ Gas range <br /> ( Clothes washer I Clothes dryer <br /> �_ Water healer 1 Range hood <br /> Sink(service/badmop/elc.) � Exhausl fan <br /> Backflow prevenler Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease lrep Woodslove . <br /> Ruo(drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 7105 <br /> 1 hereby ceritify thal I have read and examined Ihis applicalion and know lhe same to be irue and wrrecL All provisions of laws and <br /> ordinaces governinu this IyUe of work will be complied wilh whether speci(ied herein or not.The granting oi a permit does nol presume <br /> to gi��e aulhor'; r nolate or canr.ei the provision of any other stale or local law regulating construction or lho performance of <br /> constmction.lP.a'.1,em aut ' y the owner of lhis property to periorm lhe work(or which applicalion is made and I comply with the <br /> Slate ConS�t+.i�s"t.av.�- RCW and 296200 WAC. <br /> /���.���_ �s2'��'US <br /> SignaWre of OwnedConlrectodAuthorized Agenl Dale � <br /> �z <br />