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r <br /> - --� <br /> i-�?_.RMIT APPLICATION <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 SE/"� ���U�o <br /> SITE onDRESS ' /n PARCEL TAX I.D.# PE MIl/#1 <br /> ,' ,::! �(/j�G�l/�,1� / �a3 4�000oo�loO 6z�'� 74ozfsm 7(�� - '47 <br /> LEGAL LOTNO. BLOCK TRACT �j <br /> oesc. �,� G1-�3 �d99� d �25T--�nD"T�aN-�—�vEY1�Y{�/}-ifiC LOT ZS � �v,t U �� <br /> OWNER ADDRESS CITYIZIP��D��PHONE <br /> �o�,e rNFy �o�ar L LC i4G o� .i H,�r� ��L St /�1 ic.cAo,:F� lv� �2s •35�-b�t,'L <br /> TENANT NAME CONTACT FOR PERMIT ?HONE <br /> �HA2cES MDQGAA� �/2D- 353'eZBdg <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE It <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � <br /> S�N�L� ��y���y /�uJNHomE _Electric � Gas_Ottier /WpOd <br /> _ � <br /> WORKDESCRIPTION e6�SfeGCf �� ��N��E �"MicY �vw/-� �^i6S ���l,l 4- <br /> /�sic, -ToumhausG t�Jwn - Ty�, � <br /> PLUMBING MECHANICAL <br /> , NO. TYPE OF FI::TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _� Toi�et � AIC—air handling units <br /> 2 Bathlub � Forced air systems <br /> �_ Lavatory(wash basin) �}� Gas piping <br /> Shower � Water heater <br /> _� Kitchen sink 8 disposal �_ Gas freplace <br /> / Dishwasher � Gasrange <br /> _� Clothes washer / Cbthes dryer <br /> _ Laundry tray � Range hood <br /> Sink(service/badmop/etcJ g_, C� Ezhaust fan <br /> BackOow praventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodslove <br /> Roof drains Olher <br /> Other <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity ihat I have read and examined lhis application and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces goveming lhis type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give auQiority lo violate or cancel the provision of any olher state or local law regulating consiruction or the performance of <br /> construction.That I am aulhorized by the owner of this property lo perform the work for which application is made anA I comply with the <br /> Stale Contractors Law 1827 RCW and 296.200 WAC. � <br /> ��,�� � � 73 kPfL 07 <br /> Signature o(Owner/Cont orlAuthorized Agent Date <br /> _�.7 <br />