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F� r:RMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857—www.everettwa.org <br /> � C �PPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# P RdIR,# <br /> �091>7 �: �e� � O �o�-1 o ( � o o � (�'//�20 <br /> LEGAL LOT N0. BLOCK TRACT OR SUDOIVISION N <br /> DESC. �`� C'.UCt�il �, �I� S ��ViS �U/� � <br /> OWNER ADDRESS CITYIZIP PHONE <br /> Sou,.��U�ev ColtR�+�s I��� l'wx ,�0`l3 rve�c�-+- 9�z(3 �lzs•g�o• �z��� <br /> TENANTNAME CONIACTFORPERMIT PHONE (�is. �7a. -7zcl'7 <br /> �A�-F �eck E-M17AIL 5���� Pf��P(+i[f�.L vef �,^ <br /> CONTRACTOR A�DNESS CIT IZIP ON � } � <br /> �,v���v;cv Can{���c1r��S 17c� l,`�c�lc ,�0`(3 ����rr- �9bzr3 �lzs'- �17a- �zN7 <br /> CONTR.LICENSE N <br /> ___�au�cl c f � 5 I K � <br /> USE O� BUILDING H[AT SOURCE CONTRACT PRICE OF VlORK <br /> �'�U� �-, • �A�:l. �Gler,lric ___Gas_Other I �� / S�� OU�J <br /> APn���.��..; __ <br /> r-- <br /> WORKDESCRIPTION ��n�� �����n/�lO�S SLPAG�ZVI <br /> /� <br /> n S{- �c 1-vc� U2� T � "�— <br /> PLUMBING MECHANICAL <br /> NO. TYP[Of I�IXTURE OR ITEM NO. TYP[OF fIXTURE OR ITEh7 <br /> _�_ iuBet — ---- -- L�� _. ,ir handlin� uni�s -- <br /> �. 13alhtub _ Porca mrsystems <br /> I L'a��alon•(�vosh basin) _ Gas pinrl <br /> Shower _ lNa nc�ator <br /> Kitchen sink S dispos;tl __ G� s lireplace <br /> - '�H .. er as range <br /> Ctuthcs�s�sher Clothes dryer <br /> 1� Walen c� ler _� Ranye hood <br /> SinF.(se ;iceNarinwpleta) / � [r.hausl lan <br /> B:ickllo :prevenler _ - � <br /> Urinal Unil heater <br /> DrinAin � Founlain Roiler <br /> Floord 3in Refri9eralion <br /> Grease Uap _ Woodstove , <br /> Rool drains Othor <br /> Olher — , <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilif� Ihal I have read and examined Ihis applicalion and know Uie same lo be lrua and correcL All provisions of latvs and <br /> ordinaces govcrnin� Ihis tppc�ol e:ork��ill be complied�vith c:hether specified hr,rein or noL The granting of a permit does nol presume � <br /> lo c�ive aulhurity lo violale ur cancel lhe provision ol an��ulher sl�le or local la�•:regulatin9 conslruclion or lhe perfonnance ol �� <br /> consiruction. Thal I am.wlhorizeJ �yJhe�',ner o�lhis propefty lo��iertorm Ihe�vurk(or e:hich appfiiation is made and I complp wilh Ihr. <br /> Stato Contractors�'��v 18.27, -V1l;H+cl',96!200.1NAC.-�� ', <br /> i �= - �•.��, �� � <br /> Signalure ol OvmerlCnntracludAulhorized Agent Date �� <br /> i/ <br /> Z <br />