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� PtRMIT APPLICA�ION <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 �-3 --O� <br /> SITEADORESS PARCEI,T fl PERMIT# <br /> � I � '���+�, u� ;�r_ r,_� ��)� ��7Z �% C� : �n! - 2 <br /> LEGAL L T� . BLOCK TRACT � /,. <br /> DESC. Z Y,� L� G� C YL� <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �' � .5�• � 3j? �J �S � ,d s% swaY,�Nli:or�4w�'9�a'� �rz�-zz�- »�to <br /> TENANT NAME CnNTACT FOR PERMIT PHONE <br /> �iifvn� P 13ovscx, 4� �-2zv -»90 <br /> CONTRACTOR / ADDRESSc T CIT,�Y/IZIP PHONE <br /> 7�� �Cl7JI/[�CllOc� 33� � 17 �rc� J! SU/ L'Y/�/✓L✓`�'� L( Z ) — �ZO�.� S �C7 <br /> CONTR.LICENSE#'��.o��3C 9 �S n�y� (�•I� �'�t a�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S ��� ���N Ly ��s����.el ✓ Eleclric _Gas_Olher I �Sp p �`� <br /> �i <br /> WORK DESCRIPTION / <br /> C'�r �vc'v-y �/TpS�F fj�'>haPr�rt ii�lFy Cor,e�� �. e+�, S�o�X�� <br /> 1 ci �� � (3c'ty i.�.t;,��oc-.� r�i v��v�i-r ��c�' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> -� Toilet A/C-air handling unils <br /> - �- Balhlub Forced air syslems <br /> �J� Lavalory(wash basin) Gas piping <br /> � Shower Z Water heater <br /> Kitchen sink 3 disposal Gas fireplaco <br /> Dishwashcr Gasrango <br /> � Clothes washer � CloUies dryer <br /> Waler healer Range hood <br /> Sink(servicolbarlmop/elc.) � Exhausl fan <br /> Backllow prevenler Heal pump <br /> Urinal Unit healer <br /> Orinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease lrap Woodstove <br /> Rool drains Olher <br /> Olhcr <br /> _ —I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilily Ihat I hme read and examined this applicalion and know the same to be lrue and r.orrect. All provisions of I�ws and <br /> ordinaces govemin3 this lype o(work will 6e complied wilh whelher specilied herein or not.The granting of a permit does not presume <br /> to give aulhority lo violale or cancel Ihe provision of any olher stale or local law regulaling consWclion or the performance of <br /> construclion.That I am autiiorized by lhe owncr o(lhis property lo perlorm lhe work for which application is made and I comply with the <br /> Stale Coniraclors La��� 1f1.27 RCW and 296.200 WAC. <br /> � <br /> ,�N.-�� C�. O� . i� � <br /> Signalure o(OwnerlConlractor/Aulhorized Agenl Uate � <br /> �L <br />