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� <br /> � �ERMIT APPLICAT�JN <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 <br /> SITE ADDRESS PARCEL TAX I.D.71 PERMIT iF <br /> ��0� {Y�EQQIL�./�P.IL � l��-1 (v 1 QO ��(n o I-Lbl <br /> LEGA LOT N0. BIOCK TRACT <br /> OESC. � 1 <br /> OWNER ADDRESS CfTY21P P <br /> �+,¢F+6w �a��.n- l.}? (°INoI Ho�,ru�..w��,9����,�14,�i�oo,�.w -� <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> o� I �1�4+J �1P-tyF�J M?S ?�2$'b�-101� <br /> \y\ CONTRACTOR ADDRESS CITY2IP PNONE <br /> `y ONL�w�►y/��i.ub �✓U te�o3 ldc�?S�6d1,BjM� u.t'tb�N�illE q�ot z- I <br /> CONTR.LICENSE N r� <br /> o��w��� ��,68 y�,--�s�-ysss <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> rnV��1Mll.l1 ���J(p �Electric _Gas_Other I <br /> WORK DESCRIPTION <br /> �.��.�b �✓� ��s;K.wii.,v <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR I?EM N0. IYPE OF FD(TURE OR ITEM <br /> .20 Toilet A/C—air handli�g units <br /> 7.a Bathtub Forcedairsyslems <br /> 2.0 Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> � Kltchert sink&disposal Gas fireplace I <br /> 2D Dishwasher Gas range <br /> 20 Clothes washer Clothes dryer <br /> ZO Water heater Rango hood I <br /> � Sink(service/bar/mopletc.) _ Exhaust fan <br /> _ Backflow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Fountein Boiler <br /> Floordrain � Refrigerdtion <br /> ` Grease hap Woodstove <br /> Roof dralns Other <br /> Other — <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby eeriNfy that I have read and examined this application and know the same to be true and cortect. All provisions af laws and � <br /> ordinaces goveming thts typc of work will be complied with whelher specmed herein or not.The granling of a permit does�ot p�esurtle � <br /> to giva authority to violate or cancel Me provislon of any other state or Ioeal law regulaNnp construcFion or fhe performance of <br /> construdion.That I am aut rized by the owner of this property to pertorm the work for which applica6on is made and I comply with the <br /> State Co tors Law i RCW and 296.200 WAC. <br /> . r ` o � JO� <br /> Sign r f Ow r ntracrodAuthori�ed Agent Dy� �O\ <br /> e� � <br />