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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820i <br /> 425-257-8810— FAX 425-257-8857 —www.everetlwa xg <br /> APPLICATIONS ARE ACCEPTED FflOM 8 AM TO 4 PM �� _ Q SI—j)� <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT 8 <br /> I I " `�I���. 1�' 1'. ��� `�,� C��� - ��''( - . " - �, ��,�ll� :�7 <br /> I.EGA LOT Nb. 9LOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �,�- <br /> '�� ri � ,i1 �'i �' ��iil� � l�� 11 ' �:I�Vli�l�.{'IY l=Ve✓t-If �'1 .4�C; 11�/�sl�S�/- �� i <br /> 7£NANT NAME CONTA T�FOR PERMIT PHONE C.��5 �:..�3 /S SS <br /> �� L � � �,/ �1'11"�`� l, 7'hL� EqAIL���-M�t5S0�j-�� <br /> Cp��� � pq CI Y/� r �ne <br /> Town&Country Post Frame Bldgs. / �"�r� �It.inN <br /> CONTfl.LICENSE p �6521 HWy 99 S�B C � /y 9 <br /> Lynnwood,WA 98037 � �n �'/� <br /> USE OF BUILDING �-800-824-9552 SOURCE I CONTRACT PRICE OF WORK <br /> License t! TOWNCPF099LT exp 6109 <br /> Gas_Other �I ��j� <br /> WORK DESCRIPTION , <br /> � (.G�� G�" �I��S -I� �='�`L� A.�C ��Vi1C'�M� . <br /> �1 �; I�I�G�-1� ���. �,� �lun�t ��jhc . <br /> PLUMB G MIECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> loilet _ ��C-air handling units <br /> E3athtub rorced air systems <br /> __ Lavalory(wash basin) I _ Gas piping <br /> Shower _ Waterheater <br /> Kitchen sink 8 disposal �� _ Gas limplace � � <br /> _ _ Dishwasher � \ �� ( \ � _ Gas range � <br /> ___ Clotheswasher 1 \ - _ Clothesdryer �/� <br /> Water heater \ � __ Fiange hood \ <br /> Sink(servicelbar/mop/etc.) � � _ Exhaust(an <br /> Backllow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Pounlain _ 8oiler <br /> Foor drain Relrigeration <br /> Grease Irap Woodstove <br /> Rool drains Other ._ <br /> -- Other .__ � <br /> CITV OF EVERETT LOCAI SALES TAX CODE IS 3705 <br /> I hereby ceritify ihal l have read and e■amined ihis application and hnow Ihe same�o be irue and correcL All provisions ol laws and <br /> ordinaces c�oveming this type of work will be complied w�ith whether specified herein or nol.The granting of a permit does noi presume <br /> to give authority to violate or cancel Ihe provision ol any o�her state or local law regulating consimction or Ihe pertormance ol <br /> conslruc�ion.That I am aulho{ized by Ihe owner ol ihis property to peNorm ihe work for which application is made and I comply with the <br /> State Cd�traclors Law 18 27�4�CW and 29G200 WAC. <br /> �, �� �, � �;�, ��,-��� i �,��,I� � <br /> Signature of ner/Con ractoriA�Ylhonzed Agent Date �/ <br /> Z <br />