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�cRMIT APPLICATIUN <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.# P Rnyr� <br /> I�i3o '(�ock-e.�c6lt ✓ , Su��e. � oo43wsu-�ouoo 0o434�sz..4, eue� � 5 //` �Jv�`� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �nVid,tk�.� Gew.� 1�<._2. ��.{,-. ���,. g«,4.e�cUi�- �,s,�4- �ezo► aSB • �i23 <br /> TENANT NAME ONTACT F R PERMIT -r�, g kr�i k� PHONE <br /> ��,,.� uta,s�„�-4,,,� wtia.��bn� �u��e �t.e�- - �Lr 1'1s• is� <br /> CONTRACTOR ��n ADDRESS CITY2IP ?HONF <br /> 1 � . .� �-� <br /> CONTR.LICENSE# i , CL'�C��"- �� �� � � <br /> � - C (.. . <br /> USE OF BUILDING �Q /HEAT SOURCE CONTRACT PRICE OF WORK <br /> y�t A.i a-C <br /> o.Yh� <br /> � ` Y' Eleclric Gas Other '���Da <br /> WORK DESCRIPzION � • r <br /> gCv�r� rF- �l�'- t, S+`'-�tmt '}� iwcl+.�of.t. ,c.p K S'�� 4sr °� tl-}ta.�h�...i , �w.(.aeLr� <br /> (mnn- i(.QMiI�'� Aut CM.S��l3" u,F ii���n"�/�_�o+� GCI�.I � l -�j/7v�r.q F.� <br /> GaKVr7✓�L�- "1' �1.tCM-� urt-. {Kf�.. vE�S t� ar'ficl. S�^A'���"A�. � <br /> � '� <br /> PLi;�"3;"!s MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Rar�ge hood <br /> Sink(service/bar/mop/elc.) Exhausl fan <br /> Backflow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify ihal I have read and examined this application and know the same to be true and corred. All provisions of laws and <br /> ordinaces goveming this type of work will be comolied with whether specified herein or not.The granting of a permit do:s not presume <br /> to give authority to violate or cancel ihe provision of any other state or local law regulating construdion or the perfortnance of <br /> construdion.That I am authorized by the owner of this propeAy to perform the work for which application is made ai�d I comply with the <br /> Stale Contra tors Law 1827 RCW and 296200 WAC. <br /> � �— I� �2�aS <br /> �at��wnedContrado AuthorizedAgent ' D e <br /> � _ 'IL <br />