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F `RMIT APPLICATIuN <br /> CI'fY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org 6 _I 7—0 S <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# OOlrG yl iy-00 PERMIT# <br /> S �oo S S�v� - <br /> LEGAI LOTNO. BLOCK TRACT <br /> DEsc'� / — 3 3 � /Qv' �UU <br /> OWNER ADDRESS CITYlZIP PHONE <br /> -� _ //o /9 ��� <br /> - 9� <br /> TE JNAME � CONTACTFORPERMIT PHONE <br /> �C�L'. b"QJ� � <br /> 1Z+,�� y+�a�..,.Co�� �/� /fvw���cr zs'�- 3/61 <br /> CONMACTOR ADDRESS CITY2IP PHONE <br /> .�S% C— ru� �,,�.t�- x.sz-3r6i <br /> CONTR.LICENSE# �6 z-) �� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric _.Gas_Other 3�7O <br /> WO K DESCRIPTION <br /> Np,� 5�9�..! aS �Jvti- ae.t--aw ��s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhausl fan <br /> Back(low preventer Heal pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 9105 <br /> I hereby cerili(y that I have read and examined lhis application and know lhe same to be true and correct. All provisions of Iaws and <br /> ordinaces c�overning this type o(work will be complied wilh whether ;pecified herein or nol.The granling of a permit does nol presume <br /> to give aulhority to violale or cancel the provision of any olher slate or local law regulaling construclion or lhe performance of <br /> construclion.Thal I am aulhorized by lhe owner of this properly lo pedorm the work(or which application is made and I comply�vith lhe <br /> State Co�ntr c/lors L...v 8.27 RCW and 296.200 WAC. <br /> `-���7' - - l 3 — 1' <br /> � Signature o(Owne on racto uthorized Agent Date � / <br /> 2 <br /> � <br />