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P�.2MIT APPLICATIG.J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-vwvw.everettwa.org 3 -�i - /!� <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (�J �p�� - D� <br /> � <br /> SITE ADDRESS /� PARCEL TAX I.U.M PERMIT N <br /> O GiQ K- a�! WA"1� Z�O O/ DO O Z �o ., , �,'��� _ �,li <br /> LEGA l0T NO. BLOCK TRACT OR SUBDIVISION N <br /> DES�. <br /> OWNi? ADDRESS CITY2IP PHOhE � <br /> G R � �-��. 'n�l i� �� u.c ZZss ,w���� ��� �c � �,�, ��� <br /> TENANT NAME CONTACT FOR PERMIT PHONE �(sv - LsG/-S S(s <br /> �C L �etiw�- .Lv�-t-. �+`f <br /> 1?' Jpe ��'�vbu IC E-MAIL LP��MC�IOG �V�'. <br /> CI-�-y I��t4lM�'�� 1N.c.- 222 l4.u�wtu.. � �'V1ow�-�1�[,.w.v� ��� r//G-6bSS <br /> CONTR.LICENSE M �/�PZ7j <br /> G.iTYPT�f y55KS <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK �. <br /> — — — D.S�� ,C— <br /> Electric Gas Other <br /> WORK DESCRIPTION � <br /> / (,�0 6'�lJl� 2r1'n�`'v�oc� o�-c c�%F�t- S w�' <br /> U,�-.,( l�ru,r�- �Z.�v w- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIX7 URE OR ITEM NO. TYPE OF FIxTURE OR ITEM <br /> Todel A/C-air handlmg units <br /> Balhlub Forced air syslems I <br /> 'L Lavaloiy ;+vash basin) Gas piping <br /> ._� Shower Waler heater I <br /> _� Kdchen sink&disposal Gas liieplace <br /> Uishwasher � Gas range <br /> _L Clothes washer � Clothes dryer . <br /> _L Water heater . Ranye hood <br /> Sink �service/barhnopfetcJ Ezhaust lan <br /> f3ackflmv preventer Heat pump <br /> I Unnal . Umt heater <br /> Diinking Fauntain Boiler <br /> Floor drain Retrigera�ion <br /> Greasc Irap Woodstove <br /> Rwf drams Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby certify Ihat I have read and examined�his 2pplication and know ihe same lo be�rue and correct. All provisions of laws anA <br /> ordinances goveming Ihis lype o(work will be complied with whether specifed herein or not. The gran�ing o1 a permit does not presume <br /> to give authoriry lo viola�e or cancel Ine provision of any other state or local law regulating consiruction or�he periormance of <br /> cons�ruclion. ThayI am authorized by Ihe owner of ihis property to perionn the work tor which application is made and 1 comply with the <br /> S�ale C t+trac�o(s L,aw��RCW and 296200 WAC. <br /> :1 � <br /> � Signa ue o(C`wnedConliacloVAuthorized Agen� Dale <br />