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P�RMIT APPLICATIC►�� �� <br /> CITY OF EVERETT PERMIT SERVICE ,�,o _ <br /> 3200 CEDAR STREE:T, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org �� (�{ ��p� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.1t PFI2MIT X � _ -� <br /> 3 Fx� 1 S'►�u. � A-v� o -�b o -0 2..e•r000 -o ���` � � <br /> LEGA U�TNO. BLOCK 'RACT <br /> DESC. <br /> OWNER �ORESS CITYIZIP PHONE (,{/�' '�Y� �y <br /> w � 7 <br /> I-}tu.. �rK.eer t ►�.v�nMr��i, u� �P o B�x59s`�i �u�' S�zo(� <br /> TENANT NAME CONTAC7 FOR PERMIT PHONE <br /> � P�. �.1� ��� z�� �+y s� <br /> CONTRACTOR ��jv Q G�� ADLRESS CITVIZIP PHONE <br /> 4821 Fow�2 C�tt— 4-L�' �{t 8�z-2- <br /> CONTR.LICENSE# �u���OG ( O I Ii / u'h q82o3 <br /> f�l7 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �y�-���, ��, _Electric _Gas�Other I 6� f <br /> WORK DESCRIPTION ��� W��I�JLy �,�� Fjs �L 1 <br /> _ /' <br /> �3S�. ' <�'�!o �� �l J <br /> �-� �c ►.�.., z�� �v�., z bid,s � � , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FO(TURE OR ITEM <br /> Toilel A/C—air handling units <br /> Balhtub _ Forced air syslems <br /> Lavalory(wash basin) _ Gas pipin� <br /> Sho�er _ Water heater <br /> Kilc�en sink&disposal _ Gas fireplace <br /> Dis:.Nasher _ Gas range <br /> Clolhes washer _ Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Back(low preventer _ Heat pump <br /> Urinal _ Unil heater <br /> Drinking Fountain _ Boiler <br /> Floordrain _ Refrigeration <br /> Grease Irap _ Woodstove <br /> Roof drains _ Other <br /> Other --- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritity thal I have read and examined this application and know lhe same to be trua and correcf. All provisions of laws and <br /> ordinaces goveming lhis type of work will be complied with whelher specified herein or net.The granting of a permit does not presume <br /> to give authority to violale or cancel the provision of any other stale or local law regulating construction or the performance of <br /> consWclio i. hat I am auth rized by the owner oi this property lo pedorm the work for which application is made and I comply with the <br /> Stal Conlract s Law 18.27� CW an 2J6,2�0 WAC. <br /> ' `�\ �- 16 • ZwS- <br /> Signalure o OwnedContraclod uthorized Agenl Date /l <br /> � <br />