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1 i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32�0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257•8857 –www.everettwa.org � '�3 �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM V�P� D.S'��� <br /> SITE e�DRESS ' PARCEL TA7� I.D.q I PER IT A�,�f <br /> �.J9 � Q��CI'J1J �a3 �00000�ioo , `zoz,�`+�yfr4m �%lJ7 ^.`�2 <br /> LEGAL LOTNO. BLOCK TRACT ;� <br /> uesc. �� LZ c.3 .6.�9f _�__�25-r—Qn� „oN---�-�ERzs�°�x�- Lo7 r - l � � � <br /> � _ � , r 1�,,�, r„:� , l <br /> OWNER ADDRESS CITVIZIP PHONE � <br /> /� �/��/Z' <br /> �UuR- Tn�Ey l'0�12T LLC i�FGo� •iH�2,� t7Q5t /n/tt�QtfiL LCJa' S�2s •�57- 6:1�L <br /> TENANT NAME CONTACT fOR PERMIT PHONE <br /> I �ftAdcES /hoQGA�U �/2�- 353-e26gg <br /> CONTRACTOR ADDRESS CITYIZlP PHONE <br /> CONTR.LICENSE# � <br /> USE OF BUILDING � HEAT SOURCE CONTRACT PRICE OF WORK <br /> r� � <br /> s�u��t �"/t�,��Y /�a7NNomE _Electric � Gas_011ier ��� p0 d <br /> WORKDESCRIPTION Cd�.�ieGCY �S ��NG�E �MILV Tow/� �ni65 un-� 9 <br /> �5; �, ioum haus� �1�� - 7y� 3 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. I TYPE OF FIXTURE OR ITEM <br /> _� Toilet � A/C–air handling units <br /> 1 Bathlub �_ Forccd air systems <br /> � Lavatory(wash basin) � 7� Gas piping <br /> Shower � Waler heater <br /> � Kitchen sink&disposal _L Gas fireplace <br /> / Dishwasher �(_ Gas rang= <br /> � Clothes washer / Clothes dryer <br /> Laundry Iray � Range hood <br /> Sink(servicelbar/mopletcJ g�C Exhaust fan <br /> BackOow preventer Heat pump <br /> Urinal Unit heater <br /> Dnnking Fowdain Boiler <br /> F�oor drain Refrigeration <br /> Grease irap Woodstove <br /> Roof drains Other <br /> Other <br /> — — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceritify tna�I have read and examined this application and know the same to be Vue and correcL All pro��isions o(laws and <br /> ordinaces goveming ihis type o(work will be complied�vith whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel ihe provision of any olher state or local law regulating construction or Ihe periormance o( <br /> construction. Thal I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contraclors Law 18.27 RCW and 29G100 Wf�C. ' <br /> G�—(, s� �^� Z3 RPi2 07 <br /> Signature o(Owner/Cont or/Aulhorized Agent Date <br /> — — y�. <br />