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i <br /> PERMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SEf�VICES <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.# PER IT#n ��,/� <br /> _ ��7 \�U - U�[. �1,J �-4n'� \?�� 2D1 �`Joo �L/':..1� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> � 1605 �L> ;�1-'�l`61 <br /> \2�r� �hEi-oc'�..�-�-.,— L�-L !� 0.1� h�w � �At..�ti1 �� \5S1�i�1�N _ <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �'��«.��iu'-aJ I ,�Zy. 5;l ���� <br /> a�'t�.-.C« y�eML ca�.`.4 I�-�ral���.o '��,`�'c1� E�MAIL�cIl�'-(�L�?�G6r�JF�ANn <br /> ONTRACT ADU S CINI IP � <br /> o � <br /> CONTR.LICENSE# ���-'���'1' �� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �-����` _Eleclric �Gas_Other � �o pap <br /> WORK DESCRIPTION <br /> Vk>r��t \ �l\ai=l.�. wvw��`"c l- �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> - � Toilet _ PJC—air handling units 7�(�y'�1tif.� <br /> � Balhlub _ Forced air syslems <br /> Lava�ory(wash basin) Gas piping <br /> Shower Water heater <br /> ilchen sink 8 disposal fireplace <br /> ' hwasher Gas nge <br /> Clo s washer Clolhes er <br /> Waler �ler Range hoo <br /> _ Sink(sernca(badmop/elc.) Exhausi lan <br /> Back(low prev�nter _ Heal pump <br /> Urin:I Unil heater <br /> Drnking Fountain . Boiler <br /> Flcor drain Refrigeralion <br /> Grease trap Woodstovo <br /> Roof drains Olher <br /> Olher <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby ceritify that I have read and examined this application and know lhe same to be true and correct All provisions of laws and <br /> ordinaces governing lhis type o(work will 6e complied wilh whelher speci(ied herein or nol The granling of a permil does not presume <br /> I ;n give aulhoriry to violale or cancel lhe provision of any other slate or local law regulating construction or the performance of <br /> crn8tr ction.That I am lhorized by the owner of this property to perfcrm the work tor which appiication is matle and I comply with lhe <br /> � Stal ntrectors Law 1 . 7 RCW and 296200 WAC. <br /> � ���1 \o - 2"L - 01 � <br /> Si�naWre e(Ov:nedConlraclor/Authonzed Agent Dale � � <br />