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. ��_ _ , <br /> P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> i 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM �' `''/`� � J� L <br /> SITE ADDRESS � PARCEL TAX I.D.M PERMIT N , <br /> ' �`"j t . L�r>� no , � . ! , <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CfTY21P PHONE <br /> � - I � 3�' � �. C'�t ����o 4�„I. ��ere4 }/�Y10� �,uyY� � i3a1 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �7 i I ��n��l ��� k�,.�� �ui �i� �r�(r�.� <br /> CONTRACTOR ADORESS CITYIZIP PHONE <br /> c . <br /> `�o�.�rv� F�c�c_1� �L �,�n C : iu�,3�� 'i,. F)�rry `�1. TUc ,�1�'„� 970�1 <br /> CONTR.UCENSE R hU; ��� �� 71 <br /> y0UN6E`itf� lOV- <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> � �,,�� r�., � � , r, � _ cleclric __Gas_Othe� � ��� UC��� <br /> � <br /> WORK DESCRIPTION �.'c,��� + ' �� � � ) 1n'i�r2 /� I- � F Si��r'1'.11� lI <br /> (w'C �_ Y�•� � � � �� �i� ! �I � � � y <br /> 11 � �• n,� nr, (r � v�lcic '�i�,;r . <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilat A/C–nir handling units <br /> Bathlub Farcerl air systems <br /> Lava�ory(wash basin) Gas plping <br /> Showor Water hoater <br /> Kitchen sink 8 disposal _ Gas fireplar.e � <br /> Dishwashoi _ Gasrange i <br /> Clothes washer Cblhes dry�tr i <br /> Laundry Iray _ Range hood � �)�� �\ <br /> Sink�service/bar/mop/alc.) _ Exhaustlan , � �: <br /> I Backllow provenler _ Heat pump �-'�� � � '� , � <br /> Udnal _ Unit heater � �)� ,!' <br /> I _ Drinking Foun�ain _ Bailer �L/l/ �v_ <br /> . Floordrsin __ Relrigeretion �f, <br /> ---- Grease trep _ Woodslove O V <br /> Rool drains _ Other , � <br /> _ Olher _ — - — � �� j ! ' � <br /> - - - - -- -- � � � ���, <br /> CITY OF EVERETT LOCAL SALEB TA%CODE 18 J10S '� �JT— <br /> I horeby ceritify that I have read and examined Ihis appliwtion end know the same to be true and cortoct. All provislons of laws antl <br /> ardineces goveming this type of work will be complied with whether specified heroin or not. The granting oi a pertnll does not presume <br /> to givn aulhority to violale or cancel the provision of any other state or local law regulating conslruction or the perfortnance ol <br /> construction. Thal I am authorized by tho owner ol this propeAy to perlorm the work for which opplicatbn is made end I comply vnlh the <br /> Slale ConlractorpLgw 18.27 R�W and 296 200 WAC. <br /> � <br /> ��� �,�'� �I��`���'L': <br /> Signature o wnodContractor/ uthonzed Agent al� e— <br /> 1I <br />