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i <br /> PtRMIT APPLICATIUN , ; <br /> CITY OF EVERETT PERMIT SERVICES ,-� � � i �'' I <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8657—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT t <br /> Z �iv� -�,io <br /> LEGAL LOT N0. BLOCK TRACT OR SUADIVISION M <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> l). a ���,v'�an W�-��C � 5r�2 l,�kn�- (>n1r� �1�,� 1fJL53s�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �\ I i L� t� ? ? C � � � I1,� � t <br /> 1�2 J � JS ] JS(�Yl E�NIAIL � L'ldk�vb'r�(G�"/1( .�LI <br /> �b6kE3`� ��iT47Y <br /> I-1v1m5 �1;� 4���n�� � Nc���� <br /> CONTR.LICENSE R <br /> N c,L rY�5 P N �»,11��1 <br /> USE OF BUILDING HEAT SOURCE �NTRACT PRICE OF WORK <br /> _Eledric _Gas_Olher I � �� � <br /> WORK DESCRIPTION ,� <br /> 1-�S��Q c�rce_it�S c3r�`� 1'�c.J���� - �O t�zv �U l l��C—_ �'�aovYl <br /> rt5 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _� Toilel - �y��r Gn�y( _ A/C-air handling units <br /> Bathtub c, Forced air systems <br /> Lavetory(wash basin) _ Gas piping <br /> �_ Shower - C�rCtrt� Cl��� _ Watenc�ater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer qolhes dryer <br /> Walcr hea�er Range hood <br /> _`� Sink(service/bar/mop/etc.)�Y'ILmU,�4 � 1'11�t��1�, _ Exhauslfan <br /> Backflow prmenler � Heal pump <br /> Urinal Unil healer <br /> Drinking Foun�ain . Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodslove <br /> Root drains Olher <br /> Olher <br /> CITY OF EVERETT LUCAL SALES TA%CODE IS 3705 <br /> I hereby ceritify Ihat I have read anA examined Ihis application and know the same to be true and wrtect. All provisions of laws and <br /> ordinaces goveming this type of work will be complied v.�ilh whelher specified hereir�or not.The granting of a permit does not presume <br /> lo give aulhoriry to violate or cancel the provision ol any other stale or local law regulating coasWclion or the performance of <br /> truction.That I. n aut rized by the owner of this property lo per(onn lhe work(or which application is made and I comply wilh lhe <br /> tal Cqntrac r Lta� 18. R .�nd 296.200 WAC. <br /> , . '�' � ��� �` ( �� <br /> Si�M1 re of �vncr oNractorlAulhori�ed Agent Date <br /> / <br />