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PERMIT APPLICATIC�N <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 FkOM 8 AM TO 4 PM � O � !`7-lI� <br /> SITE ADDRESS PARCEL TAX I.D.# � PERMIT p <br /> ;Zo�o j o�..7e� �re`� 7d � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION il <br /> oesc. �r/f�li�r� 5�201 �.ZS-3P��-SS/3 <br /> OWNER ADDRESS CITY�IP PHQNE <br /> S�.�n� Ld�,s��v,�� "��1��'s��� �� E�A� 5..,�,z..S 3ro- 4oz - �2ry <br /> TENANTNAME ��LI/��-�� C7NTA TFORPERMIT PHONE <br /> ],, /' F— /- \ I <br /> �1/L�/�7 � Lflvl/1un� W/��i,L J•7�'1•'���u-. �Te�(aTeLY� E-MAIL � J�tn.51CtLOk�w <br /> C�NTRAC�FOR ADDRES / I Mt� <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> 3 �Electric _Gas_Olher rt�..�� y��J���p <br /> WORK DESCRIPTION <br /> I3ti�I� r�ta �Icc�+r�a..� rvc.•� ��r�jrc� W�.�I a•,l �D�p�� rt�!,a.. 7tvn��.p rFo FH/�Fc.. <br /> vN;l�, till E�e�lru-� n».,,� �xl��.,�SF �a�, rea.,„.w!- �.., 11,:,� e!«1r.4( s�ti.'v�w. <br /> c�\Fcch�- ?�rl.-�c �i..,'I�i1 7 .�ao ,' ' I c i I ., t3..,'IJ ' <br /> PLUNIBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Balhlub Forced air syslems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower W ater healer <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwashe• Gasrange <br /> Clothes wa;her Clolhes dryer <br /> Walcr heali�r Range hood <br />' Sink(servic:/ba�;mop/etc.) Exhaust(an <br /> Ba�kflow pr.���nler Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Raot drains � Other <br /> Othcr <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heraby ceriti(y Ihzt I have read and examined lhis application and know lhe same to be Irue and correct. All provisions of laws and <br /> ordinaces governing this type o(work will be coinplied with whethe�specitied herein or nol The�ranting o(a permil does nol presume <br /> lo c�ive aulhority to violale or cancel the provision of any other state or local la�v regulating construction or the pertormance of <br /> construclion.That I am a Ihorized by�he owner of lhis property lo oerform lhe work for which application is made and I comply with lhe <br /> State ntraclors Law 18. 7 RCW and 296.200 WAC. <br /> i1' �'���C _ � � r. _� � v� <br /> S� nalure of OwnedConlraclodAuthonzed Agent Date 1I� <br /> � I <br /> I--- -- -------I <br />