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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETf, WA 98201 � <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org I � —�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS r PARCEL TAX I.D.# PERM # <br /> ;� 0 �7 �� ,flue: SE. vo7 `10 u�ovviov �'_ 'o - f�DS�I <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISIOpN p <br /> oESC. ( OOQ F1'�E�' � L� � p �� 1 I Cl C E <br /> OWNER ADDRESS CITYIZIP PHONE <br /> � ���ir'�- urc� i�1r(art�e ki�zinqer //�7 /"�f�Ve, S.� Eu�r�YY�9S1aS -IiS- 344- 765y <br /> TENANT NAME CONTACT FOR PERMIT PHONE °I 2 � ' 3$�U ' U �7 Sy <br /> /V � I � C7 M O�t I� c' �CU�G'�l ( E-MAIL <br /> CONTRA TOR ADORESS � PH <br /> Eu rc /-(�m es <br /> CONTR.LICENSE# <br /> EuROHH� 97.2 NJ p� Bvx l`'r gy �4k,/a�, Ygz�S tils- 3sa �ys� <br /> USE OF BUILDING HEAT SOURCE ,.�Ip'�l!C CONTRACT PRICE OF WORK <br /> 5 t` S C /5-�-Ol�q� L __ Eleclric _Gas_Olher 9Z 5'" �40 .� <br /> ,' VPPn��nc� <br /> WORK DESCRIP710N (�1.i rc{ � l 3 K ,,?[1 S �'�� U h/� M o 4na �u u c- S G �7l .[ <br /> �c�147 Z c ?��t' r ��Glr� �JO-/�- $ qAnCn � Cti ��nG/ LYiJ . �\u.a � O(tJPt^ vi�[l� 4/ •il<'v� <br /> -{o <br /> j•�jPLO. JN�Je✓ Un �� STiVq U!'rr`nGJ4 C04n, t'c� nC� <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM N0. TYPE UF FIXTURE OR ITEM <br /> Toilet A/C–air handlinc�units <br /> BalhWb _ Forced air systems <br /> �_ Lavalory(wash basin) Gas piping <br /> Shower � Waler heater <br /> Kilchen sink&disposal _ Gas lireplace <br /> Dishwasher _ Gas range <br /> Ciothes washer _ Clothes dyer <br /> � Water healer _ Range hood <br /> �_ Sink(servicelbadmop/cic.) _ Exhaust fan <br /> Eackflow prevenler _ Heal pump <br /> Urinal _ Unit healer <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeralion <br /> Greasetrap __ Woodslove <br /> Roo1 drains _ Olher <br /> Other — . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerlify thal I have read and examined lhis applicalion and know ihe same lo be true and correcl. All provisions of laws and <br /> ordinaces govr.ming this type o(work will be complied wilh�vhether specified herein or noL The granting of a permil does not presume <br /> to give authority lo violate or cancel the provision of any other state or local law re�ulating construction or the per(ormance ol <br /> conslrucliun. That I am aulhorize..by the owner of this property to per(orm lhe u�ork for which applir,alion is made and {comply with the <br /> Stale Conlractors Law 18.27 RCW and 296200 WAC. <br /> ;7�Gs.,�,� �/'�6n—(� /O — 22 `��S` <br /> SignaWre o(OwnedConlraclodAuthonzed Agent Date <br /> ��Z <br /> � <br />