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t 7-2 75144 <br />- -- - ------ PWMOrVh <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425-257-8851- iwJw.evereltwa.orc3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. If pi fVg 4341G67011 <br />MIT z <br />9802 WETMORE AVE <br />c70439161,701100 <br />-OOQ <br />LEGA LOT NO. <br />BLOCK <br />TRACTOR SUBDIVISION# <br />DESC. LOTS 21-L. <br />"I <br />°,EE LEGAL LJB[Lr4PrIOhJ bN SNEer 1HD.D1 <br />OWNER ADDRESS CITYIZIP PHONE <br />PORT (,AR-DHILK i'Ad.TNE1S Zwo WVTY16r'_F_ AVE Eyaef-Tr <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE �xrrd�(eiou <br />Tk1UITY wroreAu G.>LFbF- <br />JeFr �11DOLETJ)k La- L26-3WA1L ,Nn*Lus, pEr <br />CONTRACTOR ADDRESS CiTY/ZiP PHONE <br />f11ALDnt.v, D YIILLErZ F.6. ll1 i 17E7fi01i A11E.5V1 _,-AITLI- 1064,6-411f-. <br />CONTR. LICENSE # I\�AP L1p FS ?PDEll la- 3l— OrI <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK^ <br />I <br />%C Electric Gas 011,er <br />i (�� ; IV p <br />WORK DESCRIPTION $wOa.m�h�-�Lv1✓a/ I�Y�: ��-R wU. 17nnifci ' J=c,.^bart <br />(-L I : 0\,CXA SIn KS, Wni'N luc.+V. t1oY v�'LZ.- d,:rpx. "V-, ,CQ, n.0.i4.r C, �A <br />,L <br />n^1 5 L Kbua>b,- tr:f. F3 ! y : ad Srrks LNw+- r Jtr a .•`. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />IJO. TYPE OF FIXTURE OR ITEIA <br />Total <br />A/C - air handling units <br />Bathtub <br />_ <br />Forced air systems <br />_ <br />_ <br />Lavatory (wash basin) <br />-_ <br />Gas piping <br />Shower <br />_ <br />Water heater <br />Kitchen sink &•disposal <br />-__ <br />Gas fireplace <br />7_ <br />Dishwasher <br />Gas range <br />Clothos washer <br />Clothes dryer <br />Water heater <br />Range hood <br />_I_ <br />Sink(smviceibadmop'ctC.) <br />Exhaust fan <br />I _ <br />Backllow prevemer <br />_ <br />Heat pump <br />Unnal <br />- <br />Unit hooter <br />_-j__ <br />Drinking Fountain <br />._� <br />Better <br />Floor drain <br />Refrigeration <br />�._ <br />Grease tap <br />Woodstove <br />Roof drains <br />Other <br />Other <br />e ed r-c c_ <br />- <br />4 <br />COFFEE $ IGEINArEC Couut:CTlcr"� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby codtify that I have read and examined this application and know the same to ho true and correct. All provisions of laws and <br />ordinates goveming this type of work will be complied with whether specified heroin or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this properly to perform ih0 work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />Signatum of Owner,ConaactorfAulho od Agent Date <br />