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PERMIT APPLICATION �', Iw, ���-� <br /> CITY OF EVERETT PERMIT SERVICES CC`5 C �C-GC7 <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 AODRESS PARCEL TAX I.D.# PERMIT R <br /> :C , n ��Qr�- - ��� <br /> r" <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER A�ORESS CITYIZIP PHONE -��.G/�fj_3-O`�z <br /> /_ y,C:'.C.'c� .j �il,�� `�/�hAJ..i•' �f! ';<`r✓ !J� �� � <br /> TENANT kAME CONTACT FOR PER PNy3 y v� <br /> ��C�U� ��S S��Efi1AIL <br /> C �i R Cfi ESS I / <br /> CON?R.UCENSE t! <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF VJORK <br /> Eleclri� Gas Olhar <br /> WORK DESCRIPTION � <br /> T/l�y /Fu�, sF TNh� /��.5 rSFc`,cJ i,u �4 F�nil' .1,�_-c-OS To <br /> �r'Sr YLC'hi�+r76O. Tl� � ;�o.,> - 1�45 r�c,c..� U ; cn �! S 9 3 P'tc ,�� .l�.'6' <br /> c� c ,UCrO �` %��:u:v (vil A r Pc�CM� ,- Tr� A�PL 4 ri; �� rz� n4.gh'�= r�i� s' ..q <br /> ! i 6;. 1 { `� 'L " � ' C(� . <br /> PL M ING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel AIC-air handling units <br /> Bathlub Forced air sys!ems <br /> I _ Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilcher s�nk 8 disposal Gas lireplace <br /> Dishwasher Gas range <br /> ' Clothes washer Clolhes dryer <br /> j Waten c�a;er Range hood <br /> j Sink(servicelbadmop/etc.) _ Ezhausl(an <br /> i f3ackfbw prevenler Heat pump <br /> I Urinal Unil heater <br /> _ Drinking Founloin _ Boiler <br /> Floor drain Refrigeralion <br /> Grease trap _ Woodstove I <br /> Roof drains Othcr _ <br /> Other <br /> ICITY OF EVERETT LOCAL SALES?AX CODE IS 3105 <br /> iI hereby cerilify Ihal I have read and examined Ihis applicalion and know the same lo be Uue and correcL All provisions of la�vs and <br /> ordinaces goveming lhis lype of work will be complied with whelher specifed herein or not.The granting of a permil does not preeume <br /> IIlo give aulhariry lo violale or cancel lhe provision o(any other slale or local law rec�ulaling conslruction or ihe pedortnance of <br /> conslruction.That I am authorized by Ihe o�mer o10-�is property lo periorm the work for which applicalion is made and I comply wi�h ih= <br /> I Stale�onlraclors LaeJ 18.27 RCN' and 296200 WAC. _ <br /> / �� • -L _�- .'' 2 0 � <br /> Sir,aature o(OwnedContraclor uthorized Agenl Da e <br /> � <br /> , I <br /> ' --- - -- � -- -------- - -------� ---- -- � —� — <br />