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PcRMIT APPLICATII�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3700 GtDAR STREET, EVERET�, WA 96201 <br /> 425-257-8810 - FAX 42�-257-8857 -www.evereltwa.org <br /> -�j� 'EIPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ` PARCEL TAX I,D.# PERp�f� <br /> —Co�'l�7 r�:�e,- r O z ao y o I �7 0 o C�//-�>/�' <br /> LEGAL l0T NO. BLOCK TRACT OR SUODIVISION N <br /> �ESC. �`r C�.UPf�il � �S �V�SiUn � <br /> OWNER �� ADDRESS CITYIZIP PNONE <br /> Svu,.��U�et� Co.�+R�t�s I�•C� l�x ,�o�l i �ve�ct+ �i�zl3 �/zs•g�o� �z�r� <br /> TENANTNAME I CONTACTFORPERMIT PHONE [�ZS. ��a . 7zcl � <br /> /kA+E �eck E•h7A1L S�elic�r Pt�pv�+?ef�.� Uff j�n <br /> CONTRACIOR A�DRESS CITY2IP P O E �) } <br /> �unc�V�eu Con{-Iti fv�$ �U I,�GX ,�G��3 �uCr[Y� '�IbZ(3 ��ZS� �7U- J,Z�/ 7 <br /> CONTR. LICENSE# <br /> �c,i,hc� CL i51Kct <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _ �'�U I ��, • ��An,..:l� A r1 _.. . �Eleclnc _Gas_Olhor \� �S UU�J <br /> /ifArlr.�cAi U� <br /> WORK DESCRIPTION ��n�% --�c�n/��CP��S -- S�.�,q��-�J <br /> , <br /> n St- vc 1-vu U,t, T I <br /> � <br /> PLUMBING MECHANICAL j <br /> NO. TYPE OF fIXTURE OR ITEh1 N0. TYPE OF FIXTURE OR ITEM <br /> _��_ Tuile� --------- _ ir h,indlin� uniL< I <br /> �1 Bulhlub --- Forcec mr stslcros <br /> Luvalory(wash b:�sin) Gas pin�t <br /> Showcr N'a r lir.,dcr <br /> --- Ki�chen sinF:S dispos:J --- G s lireplace <br /> - - '�a .. er ❑s rann�• <br /> Clulhes w isher Cbthes dr�er <br /> _� N'aten c� ler � Range hood <br /> Sink(sc rice�badnroplelc.) _ / > [xhaust lan <br /> �ackllo�✓prevcnler - � <br /> Urinal Unit healer <br /> _ Drinkin � Pountain Boiler � <br /> _ Fluor d iin Re(rigeralion I <br /> Grease lrap Woodstove , <br /> Roof drains Olhcr <br /> Othar <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y Ihal I have read and examined lhis application and know the same lu be true and corrocl. All provisions o(laws and <br /> ordinaces governing ihis I��pe of work�ti�ill bu complied wilh�•:hether speci(ied heroin or not. The granting of a permit does not presume <br /> lo give authuidy lo:lolal�or c;�n�.el lho provision ol any olher slnle or local la�v reyidalln� conslruclion or lhe perionnance of <br /> construr,lion. I h;at I am aulho�izen b��1he'ffivner ol Ihis pro�2r,rty to jii�r(orm Ihe�vurl;for v;hich applicalion is made and I comply wilh lhe <br /> St2leContr.i�:tors�aw 18.27.'n�a�y�96fI00_1NAC: � <br /> , _ l� 5�/�� ,zc��, <br /> �i�9/� <br /> Si�nature ol OwnedConlraclur.�F�ulhonzed Agenl Dale <br /> ` IL _ I <br />