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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.M P MIT IF <br /> 5/ � �� � n� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNF.R ADDRESS CITY2IP PHONE <br /> �� � �t�r z9� w�-r,cx� �,�r �zo� <br /> TENAN NAME CONTACT FOR PERMIT PHONL• <br /> �/,� �:rn-rinr� ,VD 7 �,°l2ls L�1� ¢,�- 25��9T <br /> CONTRACTOR �j�yA �C �"��c�j�l' ADDRESS CIN21P PHONE <br /> t.o s-/ <br /> CONTR.LICENSE# <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> �� �.n� � _Eleclric _Gas_Olher <br /> WORK DESCRIPTION �'�(f�]�'(,rc'T/���7- �,�j�.y�L'��,/ LY�G� w)t� 1�I��y' '.�'n,/I{f�L-�y�I2 I�-c�rG <br /> �N 71i '! � `!7� /Y�G�6-/7�/ W//1�`L � `/��L. �i4�NV /Vv. 7 !✓ <br /> SUP,�'lT fl ¢" F'i'/ZE �"L�IJ/c1�IL �!2!/!G� GUHIC1f GfJ/!l. �UrV �OM <br /> I/2.77� ST%16�T 7o E' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel WC-air handling units <br /> Balhtub Forced air syslems <br /> Lavalory(wash basin) _ Gas pipin� <br /> Shower W aler healer <br /> Kitchen e'nk 8 disposal Gas tireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sink(service/badmop/e�c.) _ Exhausl fan <br /> Backflow preventer _ Heal pump <br /> Urinal Unil healer <br /> Drinking Founlain _ Boi�er <br /> Floor drain Refrigeration <br /> Grease lrap Woodstovc <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TIVC CODE IS 3105 <br /> I hereby ceritify lhal I have read and examined this applicalion and know the same to be true and correct. All provisions of laws and <br /> ordinaces�overning this type oi work will be complied with whelher specified herein or not.The granting of a permil does not presume <br /> to give authonly to violale or cancel the provision of any other slate or local law regulaling conslruclion or Ihe pe�fornance of <br /> conslruction.Thal I am aulhorized by the owner of this propehy to periorm the work for which application i,made and I comply with the <br /> Slale Con�raclors Law 18.27 RCW and 2�J6.200 WAC. <br /> G�`"5 �-�..�. , �lr.� ,�5, ?Q�'o <br /> Signa�ure of OwredConiraclor/Author¢ed Ac,enl a� �I� <br />