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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VJA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> '7ao3 �►��PY�i��l �,��,, ao3 00000 �f oa oc�os-�z9 <br /> LEGAL LOTNO. BLOCK TRACT ](� <br /> DESC. �f � <br /> OWNER J ADDRESS — CINIZIP PHONE C�� <br /> ENhNs� h.C� ���1/� �aC1S(,VO�Yj(/"{ S'fi. l)./� ! '/Q�(y�,�'4 QI�� SZ(/'3YJ -7o2 <br /> � . 'TA 0c4 <br /> TENANTNAME CONTACTFORPERMIT � PHONE <br /> I ��h �s �f' K� LI�✓' S�f'/-35'O-�-f62�� <br /> CONTRACTOR '� ! � 'uG N �R CITY2IP PHONE <br /> J' � � /�6� �isf �/. n/2 tio,�, z�_3,63--73� 1 <br /> CONTR.LICENSE it F� �� � <br /> � � �f�/sS- <br /> US'�OF BUILDING HEAT SOURCE Vkp� � C�TRACT 2PRICE OF WORK <br /> � � rQ� 'L I _Electnc _Gas�Oftier�� �l J�� • <br /> WORK DESCRIPTION �e m o°(e � G N� � �( � � Z ��-�n <br /> 9Gl�u� � G��dt� �r PXls�l �� �Gr�� Q S�C <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Balhtub Forced air syslems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kilclien sink&disposal _ Gas Tireplace <br /> Dishwasher Gasrange <br /> Clolhes washer _ Clothes dryer <br /> Waler heater Range hood <br /> Sink(service/Uar/mop/elc.) _ Exhaust fan <br /> Backllow prevenler _ Heal pump <br /> Urinal Unil heater <br /> Drinkinc� Fountain _ Boiler <br /> Floor drain Re(rigeretion <br /> Grease lrap _ Woodslove <br /> Roo(dreins Olher , <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilily that I have read and examined this application and know lhe same to be true and correct. All proviaions of laws and <br /> ordinaces goveming this lype of work Hill�o complied wilh whether speci(ied herein or not.The granting of a permit Ccas nol presume <br /> W give authority to violale or cancel the provision of any olher slate or Wcal law regulating consWclion or lhe performance ol <br /> consWction.Thal I am aulhorized by fne owner of this prooerly to perform Ihe work for which applicafion is made and I comply with the <br /> Stale Conlrac rs a ;27 RCW and'296.200 WAC. <br /> — r <br /> �—_ �=is=�z <br /> Si�naWre ol O _edCo ador/Aulhorized Agenl Date <br />