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P�RMIT APPLICATIO�IV <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 T04 PM � `�A�� <br /> SITE ADDRESS � PARCEL TAX�.D.# P/�RMIT# <br /> 7/ZS �y��er �/r� , 007 � S� <br /> LE�AL lOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> n t II ,�) yys_ys�-z7i� <br /> �E�'�2�'l PG�{V�C c K 7��1''i,�� 1(Z�o ls�i��ve �v 9�701 zov-472-G'L/8 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �� '���i���� �7�0(0 ``�7 2'�' 21� <br /> CONTRACTOR c_� � ADDRESS CITY2IP PHONE <br /> JG <br /> CONTR.LICENSE# <br /> USE OF BUIL.OING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �y✓�e�{� _Eleclric _Gas_Other MW �8�OTJQ <br /> ".���� , c._f <br /> WORK DESCRIPTION <br /> replac� ex�;���� �le.c� akrvc-(we Wift-. �e�,a — s�e �'ar�pri�¢ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR�TEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—�ir handling unils <br /> E3athlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler healer ,L <br /> _ Kitchen sink 8 disposal e _ Gas fireplace �� <br /> _ Dish�rasher �� _ Gas rango <br /> Clolhes washcr � Clothes dryer <br /> Watcr heater Rangn hood <br /> Sink(scrvicc/bar/mop/elc.) Exhausl(an <br /> Back(low prevenler Heal pump <br /> Urinal Unil healer <br /> Drinking f°ounlain Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap 1M1'oodstove <br /> Raol drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined this application and know tue same lo be true and correct. A�I Grovisions o(laws and <br /> ordinaces governing lhis typc�o(work will be complicd with whelher speci(iad herein or not.The granling of a permit does nol presume <br /> to c�ive authority to violale or cancei the provision o(any other state or local law regulaling consWciion or the performance of <br /> construclion.That I am aulhorized by lhe owner ol this property lo perform the work for which application's m2de ana I comply with the <br /> Slate Conlra s a 8. RC and 296.200 WAC. <br /> �� l 7 � O/ <br /> Sic�n ur of OwnedCo .raclorlAuth ized Ac�enl le 1/ <br /> � <br />