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P��2MIT APPLICATIG.� <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 PARCEL TAX I.D.# P MIT t{ <br /> .:��c�� '�ti�21+��oaz �JR-- �/(�<3 —/l <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> ;I���t f114y �w ,tv) �7�'i \�1s�{Yw��� (�a i3z�i �z� Sot� l� »� <br /> TENANT NAME � CONTACT FOR PERMIT PNONE ,;�;,� ��p .�� <br /> � <br /> CV L�i.C''c..� [-�1�S Yolt��IP��J%� JP�LL���� , E•MAIL <br /> �c:•�TU'1o�ce �oti+'>� 1 n jk �V`�3 /11u(cil-ic� 9?:.7� �DC. 'J�o-L3��2 <br /> CONTR.LICENSE M. - <br /> i�jz.�-tcci`� � 3PL /Cj/l3/� <br /> .�, <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> J i <br /> `����� L,z _Eleciric�l Gas_Other � ��� J;}J <br /> WORK DESCRIPTION t (� �,,,,�.,�� `-�"A="``. `."':� i-ftv'."c t���'..j....`:I <br /> i�.'s�,..i.11 � i7iyl..�Y � �yi7.: � �%�iL� , <br /> � <br /> 1-'�i..,, C�,��u> <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM � NO. TYPE OF FIXTURE OR ITEM <br /> Toilel AIC—air handling uni�s <br /> 13a1htuU Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler I��eater <br /> Ki�chen sink 8 disposal � Gas fireplace . <br /> Dishwasher Gasra�ge <br /> Clo�hes washer Clolhes dryer <br /> Waler heater Range hood <br /> Sink(servicelbarhnop/etc.) . _ Ezhaust fan <br /> Backflow prevenler _ Heat pump <br /> Urinal Uni�h^aler <br /> Drinking Foun�ain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 1105 <br /> I hereby certify that I have read and ezamined this application and know the same to be Irue and correct. All provisions of laws and <br /> ordinances governing ihis rype of�vork will be complied with whelher specified herein or not.The granting o(a permit does not presume <br /> to give authority to violate or cancel ihe provision of any other stale or local law regulating construdion or the performance of <br /> construction.That I am authorized by the owner o(this propehy to perform the work tor which appiication is made and I comply with the <br /> Slale Con�ractors Law,1827 RCW and 29G.200 WAC. <br /> ��. �� �� �� J/7-l'.� <br /> SignaWJ of wner/Conlrador/Authorized Agent Dale / <br /> L_ _ _ _ — — — --- � Z <br />