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P�r�MIT APPLICATIG.J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E�,'ERETT, :�'A 98201 <br /> 425-257-8810—FAX 425-257-8857 -www.everettwa.org � _ � j _� � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.� P RMIT/ <br /> II UL�� i Sc �, 24�6 � (� 3 �ZZL� � v - ou� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. ��e SFIC�- T I.G <br /> OWNER ADDRES3 CITY2IP PHONE <br /> �(� Real��j Fuh� 1� Cc�1 i�Gll 2�35 Fc�r�da� �-.�z. 0� Car�Sb�•r�,Cf� <br /> TENANT NAME CONTACT FOR PERMIT PHONE -J <br /> C'oi�i�.c�i ��si��� Gro�i� F-CG <br /> tC.L E'.G7..�r�1� TV1C . APr�i F� ��PPi �l2`�)�'7L " � <br /> CONTRACTOR �`V i5 �'�C.��,`.11 „�� AOORESS CITY2IP PMONE <br /> llY .�c� y � � I (vzs � 9v <br /> CONTR.LICENSE N '�AV��I 1 `� / �G `� �� �J �y 111���.Y� ) � <br /> G51 ti�07/�:�c/ ��C� <br /> USE OF BUIL�ING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � / � �— �Electric _Gas_Other � �$� � , �� <br /> WORK DESCRIPTION 1i�.1��`` 1�'��1.� <br /> i- l�+�p�2��-�.ts�y-. T�n�'iC;r r�ovi��h���5 <br /> -�v ��i cl vcl�� I u���; h�{�.r'I c Y (xu��i-Y�Ot�S�c�cc�r5� r� 1 i-1E S EI C P fESfi C'01v15 <br /> i'vll ��w��1ni �.�ri.�-�.1,���,k �,L�{NLI�1 Vl� t,�=c�11 . !UO c I�C�.��� c� C�5�z, i�C� <br /> � c. - i....r•� -1 � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. iYPE OF FIXTURE OR ITEM <br /> Toilat AIC—alr handling units <br /> Bathlub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposat Gas firepiace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> Backflow prevanter Heal pump <br /> Urinal Unit�e�ter <br /> Ddnking Fountain tiollor <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CIN OF EVERETf LOCAL SALES SAX CODE IS J705 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and cortect. All provi�ions of taws and <br /> ordinaces governing this type of work wil�be complied with whether specified herein or not.The granting ot a permit does rot presume <br /> to give authorily to violate or cancel the provision of any olher state or local law regulating construclion or the performance ot <br /> construction.That I am authorized hy lhe owner of this property to perform the work for which appiication is made and I comply with the <br /> State Con,tr2ctors Law 18 RCW a d 29 ZDO WA�. � <br /> ' /' Z � /d <br /> SignaW f ned ntractor u nzedA nt Dat �I <br /> � <br />