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� - ��� <br /> I PERMIT APPLICAT'ON <br /> �I CITY OF EVERETT PERMIT SERVICES ; <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810- FAX 425-257-8857 -v✓ww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> � SITE ADDRESS PARCEL TAX I.D.R � PERMIT# <br /> � '?� 2� �16e��Vice�,�I f�v� �C��C,^7 `l n� 2�1_t'� ( � ��;� /� -?�� <br /> I LEGAL LOTNO. BLOCK TRACT 1 I <br /> ',I DESC. � 11. ✓Z� l� =�Vl[\'�/ L��-L/r^f-ITr- � <br /> '� OWNER ADDRESS GNlLP PHONE �i <br /> �L�l ��i' I7-� � <br /> 1�C�r t 41' F'lawtc� �..vf�c— <br /> �I TENANTNAME CONTACTFORPERMIT PHONE �, <br /> ��tit� ..�C-ft- l�1.ik�z � f>c[�. 1�f�,u-wK� 4•i� 'r"d">> - �i>i7•� <br /> � CONTRAC70R ��- �f_ ADORESS CITYILP PHONE ' <br /> I <br /> CONTR.LICENSE p , <br /> , USE OF BUILDING HEAT SOURCE i CONTRACT PRICE OF WORK - <br /> �'l/"r:' _Elednc Gas_Other `��('O� UU�) I; <br /> WORK DESCRIPTION <br /> �, ( ��' k�F h.��rJ 6- L f.�� S ri:rti ��.�i��i� <br /> PLUMBING MECHANICAL � <br /> NO. ?YPE CF FIICTURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> Toilet NC-air handling units <br /> Bathtub Forc?d air systems <br /> Lavalory(wash basin) _ Gas piping � <br /> = Shower - i��F'�u"-.�� _ Walerhealer <br /> Ki�chen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gas range I <br /> Clolhes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(servicefbadmop/elc.) _ Exhaust fan <br /> Backflow�•^ _Ner __ Heat pump <br /> Unnal Unit heater <br /> Dnnking Founlain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodslove <br /> Roof drains Other <br /> _ Other — <br /> CIIY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � I hereby centify Ihal I have read and examined Ihis application and know the same lo be true and covect. All provisions of la•Ns and <br /> ' ordinaces goveming this type of work will be complied wilh whether specif ed herein or not.The granting of a pertnil does not presume <br /> I !o give authonty to violale nr cancel Uie provision of any other slate or local law regulating construction or�he per(ortnance of <br /> construclion.That I am authorized by lhe owner of this property lo perlorm the work for which application is made and I comply with the <br /> IState Conlractors Law 1R.27 RCW and 296200 WAC. <br /> l� �li��,��`-' i�'� " � `'; <br /> i SignaWre of er/ nlractodAuthonzed Agenl Date �/� <br />