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PtRMIT APPLICA'�IGnI <br /> CITY OF EVERETT PERMIT SERVICES <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 ADDRESS PARCE�k TAX I.D.# PERMIT# <br /> —j�L� 1,�;(�tiLb�� Qti�_ f.�0�!b J'b�/�Cb7.oJ I /I�9�2/S <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER1 ' ) C ADDRESS CITYIZIP PHONE <br /> �'r:�Gi/1✓1 r� l�� / -f ?J "Z S2 -a'>�.� <br /> TENANT NAME � I CONTACT FOR PERMIT PHONE <br /> -r�t � t�E�hIAIL <br /> R �°ic't�'r�/`tc' Jr�r. � � 63y L.yn�� ��am ��17�fb zS-��b- 9b� <br /> 1 <br /> CONTR.LICENSE p �� � �G�D 7�i1T <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _ �c( j �//�! � ,� <br /> C�J` L`�'nt..���' — _Electric �3as_Other I ���� <br /> WORK DESCP.IPTIOk • /� /j f,`�/ /,� ,j��' <br /> ���� „�7,c�n� -��'�K 6'Ft� 61�f�I�f-( 1 r <br /> ��. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet NC—air handlin� units <br /> _ Dalhlub Forced air systems <br /> _ Lavatory(wash basin) = Gas piping <br /> _ Showcr 1Naler heater <br /> _ Kilchen sink&disposal Gas fireplace <br /> __ Dishwashcr . Gasrange <br /> _ Clothes washer Clolhes dryer <br /> _ Waler heater Range hood <br /> Sink(service/bar/moplelc.) Exhaust fan <br /> _ Dackllow prevcn�er Heat pump <br /> Urinal Unil healer <br /> Drinkinp Fountain _ Boi�er <br /> _ Floor drain Refrigeralion <br /> _ Grease Irap Woodstove <br /> . Roof drains Olher <br /> Olher — <br /> CITY OF EV[RETT LOCAL SALES TA%CODE IS 3105 <br /> i hereby cerilify lhal I have read and examined this application and know Ihe same lo be Irue and correcL All provisions of laws and <br /> ordinaces goveming this type of work will bo com{-�licd with whether specified herein or noL The granting of a pnrmit does not prosume <br /> to give au:honry lo violate or cancel Ihe provision ol any other slate or locat law regulating construction or the portortnance ot <br /> conslrudion.That I am authorized by the owner of tLis property lo periorm Ihe work(or which applicalion is made and I comply with lhe <br /> State C nlractors l:aw l'�.7/k CN' and 29620D WAC. <br /> ���:G� �-L!� (�.�Q�C �7/`�l`/��f <br /> �Signalure o( wnedCoNraclodAuthorized Aqenl Dale <br />