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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 I <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM � ` � c� _�D <br /> SITE ADDRESS L�� � �_1�_ PARCEI.TAX I.D.S PERMIT/ <br /> ���rz ��« t_� � t1�� c���_c � 6aW3 i `��v��� ' "` � �-�-� <br /> LEGA LOT NO. ` BLOCK T�nRACT OR SUBDIVISION�I <br /> DESC. �� ���Ih/ / �-1�1 I �a� nf �-V{-YE-{+" �Iv� Siov. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �� �o,�,�tl �' N�c7�.�v �� ���., 1��c�erscn� .���ol ti��cl�_r flve (<f�5�25a�3S� <br /> E zr�t1 �:V,Y� 'iS'S�G� <br /> T[NANT NAME CONTP.CT FOR PERMIT PHONE (y 25 2S�(c <br /> :�:[l L�l.� �"�Qll1r�c'�� 'f�riL� f�tvc�E✓Su�-. Ea4A1L�6,E0.v�dyv.�eG:c��.�a��.Co.. <br /> �"�Qr � �V W i l� �c �-�1 -' <br /> =� w�,;� L�t1 < v •-c �';r;�; IOLOy � r�ve SE:� 6VFrEtt' �425)37rS0$1"! <br /> CONTR.LICENSE N � �}$u.$' <br /> ntiwtN�LI i��Pl�, <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ��r-5i<��6� ( ��<'i� _Eloctric ✓Gas_Olbor � �C���� ���� <br /> WORK DESCRIPTION <br /> �' , ) r�l,.•,. � . �,_. . ' ,- 1 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. NPE OF FIXTURE OR ITEM <br /> Toilcl A/C—air handling unils <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> I Kilchen sink 8 disposal Gas f�replace <br /> �_ Dishwasher _ Gas ranye <br /> Clolhes washcr Clothes dryer <br /> Water healer � Range hood <br /> f�_ Sink(service/barlmop/elc.) _ Exhausl fan <br /> Backllow prevenler Heal pump <br /> Urinal Unil hoater <br /> Drinkinr� Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap Woodslove <br /> Roo(drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TFU(CODE IS 3105 <br /> I hereby cerili(y iM1at I have read and ezamined lhis applicalion and know lho same lo bo Vue and correct. All provisions of laws and <br /> ordinaces c�overning Ihis type o(work will be complied with whether specified herein or noL The yrantiny of a permit does not presume <br /> lo give aulhority lu violate or cancel Ihe provision ol any olher state or local law regulaling conslruction or Ihe pedormance of <br /> consiruclion.l hat I am aulhorized by the owner ol this property to periorm lho v.•ork for which applic. on is made and I comply with ihe <br /> Slate Conlraclors Law 18.27 RCW and 296.200 WAC. <br /> l�� 1������i c_�� �- � ���<+'� � ��� �zo ( b <br /> SignaWre ol OwnedConlraclodAuthorized Agenl afe <br /> ��L <br />