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R <br /> �RMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PE MIT# <br /> 5 ro� Vt' S� � C�'� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADORESS CITY/ZIP PHONE <br /> � ` � ��.� �Oyos .��o( ��' SF �v.�ef��/ 9��0 <br /> TENANT NAM[ CUNTACT FOR PERMIT PHONE f(� 1//���f I���l <br /> J vfd o� ( <br /> � s/`I�7'IC.2�LL� E-MAIL K4.bo �6� U��t �- <br /> N CTO � ^ AS��S � PH LL' �rn <br /> CONTR.LICENSEp ����rJ/_I� a'��,f�/� A��� f L�.� '1 L�'iZS� �l�' ���{'S <br /> -�._�1:�,�� �Fc'b�+:<l:�i <br /> '�t,,,.i�.� ��r.:> ' � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � /� � li�[lectric Gas Other <br /> �C�l�[lZ�lC2(�' , /�////2 — — <br /> WORKDESCRIPTION ��I ' L�2� GD CJOfK �O/' L�ItQ �'L�G(� G(�'E.�/,17O��ul; 'CJ�7 !� <br /> GJ 7'�� `lLSZG /` /��/ /�Z!S � � <br /> / / St�r•� , <br /> 7/t ariK �, � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE Oft ITEM <br /> : Toila �I 1 t A/C-air handling units <br /> � E3athtub I� �_ Forced air systems <br /> y Lavatory pvash basin) �� � ��TT Gas piping <br /> _L Showcr � _�_ Waler heater <br /> = Kilchen sink& disposal Gas lireplace <br /> � Dish�vasher Gas range . <br /> _�_ Cbthes washcr �— Clolhes dryer <br /> Waten c�aler �_ Range hood <br /> Sink(servicelbadmop/elc.) 4 Exhausl fan l l 1 � 1 <br /> 6ackflow prevenler Heat pump <br /> Urinal Unil heatcr <br /> Drinkin� FouNain Boiler <br /> _ Floor drain Re(rigeralion <br /> _ Gre�se trap _ Woodsto�ya�f� <br /> Rooldrains u�`� _�. Other ut.11Lt, � � yikl,J S/�C��- <br /> _k_ Olhcr_ /1 . - SI�Ci- _ <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 7105 <br /> i hereby cerilify Ihal I have read and examined this applicalion and know ihe same to be irue and correcL All provisions of laws and <br /> ordinaces goveming Ihis lype o��vork will be complied wilh whether speci(ied herein or not.The granGng o(a permil does nol presume <br /> lo give a�dhoriry to violale or cancel the provision u(any other state or local law re�ulating coneWclion or the per(orma ce of <br /> cunslruction. Thal I am authurized by ihc owner of lhis property lo pe�(onn the work for which applicalion is made and I comply wilh Ihe <br /> Slatc Contractors Law.10.27 RCW and 296200 WAC. <br /> .�-,—��T�-=-� c�/3o� a l <br /> Signalure ot Owi�e� onlraclodAuthonzed Agenl te <br /> � /d <br /> � <br /> � . _ . —-- - - --� �-- <br />