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PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-887G—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT K <br /> `I5�0 �'�75�b O o '�o � .c _ <br /> LEGAL LOTNO. BLOCK TRACJ�T �p <br /> DESC. J� 1 '7 �O �C/ <br /> OWNER ADDRESS CITVTP PHONE�s/y ��,��pl <br /> �,1�= R 4t�A�2� 9S2`G �NDAt'ci�uc SE; -r�;- EF�7,►���- �, �•�' <br /> TENANTNAME CONTACTFORPERMIT ( �,���,C,'0 ''3pCI <br /> ��'"-�'6 �J�a�� �� �� �«, � �>ac.�- ��s� <br /> CONTRACTOR ADDRE55 CRYTP PHONE <br /> A�tD�=�N �r�hp,lac� � �s i ii c�rcadway EJereE�, ��'�i C�����-Y6i y. <br /> CONTR.LICENSEM �*��s��A5'����h41 <br /> _p;L![�IZ�LI'!�l T 4'�Z�'�'�' <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> s/ALL�I�/'�A�1�Y ����r� XElectric _Gas_Other 3 ��J3. � <br /> ! <br /> WORK DESCRIPTIO • <br /> IC;�n�ddc�� a� ��cf f3c:�zN,�iC� sroVc a��! r�(�a��nzc�I,t � �Yo/>41,� �`YS <br /> �ovC . �ns-�-c�l f a}�e�, o� .srcJ�,��r�, �s�, , sc � er�' 6as Ltn� t�, <br /> �ra�zit�TA�iK, ��°I�<i1�c�r3nk 'p�`sf���afioN.�l���rl�an�isFr;Lx.d-rrs • <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIX7URE OR ITEM NO. TVPE OF FI%NRE OR ITEM <br /> Toilet A/C—air handling uni� <br /> �ariitub Forcod air systems <br /> Lavatory(wash basin) _L Gas piping <br /> Shovrer Water heater <br /> lCitchen sink 6 disposal _(_ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clothes vrdshei Clothes dryer <br /> �aundry tray Range hood <br /> Sink(service/barlmopletc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain _ Boilar <br /> Floor dmin � ReMgeiation <br /> ^ Grease trap Woodstove <br /> Roo(drains Other <br /> Othor <br /> CItY OF EVERETT LOCAL SALES TAX CODE 1511D5 <br /> I hereby ceritiry that I havo read and examined this application and know the same to be We and wrrect. All provisions of laws and <br /> ordinaces goveming this type ol v.ark will be complied vnih whethor spedfied herein or not.The granting of a permit does nol presu�ne <br /> to give aulhonry W violate or cancel the provison of any other stale or local�aw regulatlr.g construclion or the peAormance of <br /> construction.Thal I am authonzed by the ovmer of ihis property to perfurm tha work tor which application is made and I comply vrith tha <br /> SUte ntraaors Law 1827 RCW�pd 296200 WAC. <br /> / � 1� <br /> �`yJ %h i � \C 1��� `���3�C'� <br /> �/agnatu of OwnerlContracrodAuthonzod Agent at—�e <br />