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► cRMIT APPLICAT�JN <br /> CITY OF EVERETT PERMIT SERVICES <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 /> SI:�AL'1RESS PARCEL TAX I.D.# PE IT A <br /> 3 ��mini �� - <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS CINIZIF PHONE <br /> /�oY�-z� ��"1.9.vuFi��Tc.��.v� 3�17 Si�r�r A[� EG�t��n 1�70( (y�259- 9258 <br /> TENANiNAME CONTACTFnRPERMIT PNONE <br /> ,�'7/�f?(J � <br /> CONTRACTOR ADD SS qTVfZIP PHONE <br /> E�cP66�z�za�,�� K�rr�'�-' 2i2o ��u{� C-�,�fi� 4�r �`�lzsz-3rry <br /> CONTR.LICENSE 71 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric �CGas_Othr� � a �Q(� � <br /> QF���� � ` <br /> WORKDESCRIPTION ��t5� � �JST.aI..t� �Z,� 3ta,v �A-twt-�d� (�r- I�� u�� +. <br /> S �.�u�N� 2t44 F(oc�� CFF(CE � i -a 5L-2uC-, C�tinlc{�. �o�T�� �-� �3 <br /> PLUMBING MEC <br /> NO. � TYPE OF FIXTURE OR ITEM �–�— –T'PE OF FHFILBEOR ITEM <br /> Toilet Z A/C–air handling units <br /> 6athlub Forced air systems <br /> Lavr �r-(wash basin) _ Gas piping <br /> ShoK.r Waler heater <br /> Kitchen a�nk&disposal _ Gas fireplace <br /> Dishwasher Gas ranye <br /> Clolhes washer _ Clothes dryer <br /> Laundry Iray _ Range hood <br /> �� Sink(service/badmnp/elc.) _ Exhaust fan <br /> Backflow preventer __ Hea�pump <br /> Urinal Unit healer <br /> � Drinking Founlain _ Boiler <br /> � Floor drain _ Refrigeralion <br /> Grease lrap Woodslove <br /> _ Roo(drains � Olher � 17i���..� <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilily lhat I have read and examined this application and know the same to be true and correct. All provisions of laws 2nd <br /> ordinaces goveming this type o(work will be complied with whelher specifieJ herein or noL The granling of a permit does nol presume <br /> to give authority to violate or cancel the provision ol any olher state or local law regulating consliuction or lhe performance of <br /> conslruction.That I am authorized by the owner of Ihis property to pedorm the work for which application is made and I comply with the <br /> State on ctors Law 8.27 R and 6.200 WAC. <br /> ��� ��� .�"�5�0� <br /> Signalure of OwnedConlractor/Acthonzed Agent ate <br /> _. _ . _..._._.— �--------- -- I <br />