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::� <br />;���'`` — <br />.. ��:>='� PEKIVIIT APPLfCATIOIv <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �G� ,1/ — � � <br /> � <br /> SITE ADDRESS � PARCEL 7AX I.D.# PEFcM # <br /> � �` .S `S � r�o U � o� OC� (.�2-2� <br /> LEGAL LOT NO. 7 BLO7CK TRACT h ) <br /> DESC. �� 3l �%.'�� / � � 7C U� ��../ <br /> ,..��-.~; OWNER ADDRESS CITYIZIP PHONE — S(.�_ (� <br />,:-��ow:.�. <br /> '``�t;; �C/f-%�A-r1� /�DI�/�',-?I�LL L �'r"7l �01>Gi;�i>l�'Ca �� " �t� " <br /> 'Y ' TENANT NAME � CONTACT FOR PERMIT PH NE <br /> r <br />� ��.: ' <br />� � ,• <br /> :/7,a— 7_� � . <br /> CONTRACTOR ADDRE55 CITYIZIP PHO E " ��� G <br />���an �v.� y�w <br /> ,��/��,�'��io �l?rsTl,1�G TrcJ�/,i6'c° y"7y=i CG�c/N�i-u�.�i�- u� 3 <br /> CONTR.LICENSE# � <br /> _..,;;:� /z,�i �� r �zUzc 5� �<���,7 c - a s -39��-(��'�:� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> s,�:l� ��H„�y � <br /> R_� � f(� . _Eleclric �Gas_Other `��G}��� �� I <br /> WORK DESCRIPTION ������� — <br />!R,, . ,� ,�,vr�_o c�ic- ,u.�'i,v /�irr�– �-r2 v�x>-�- r-o r <br /> <.;; <br /> "��.1�' i <br />;�/��'' '', PLUMBING MECHANIf:AL <br />� �t� � NO. TYPE OF FIXTURE OR ITEM NO. � TYPE OF FIXTURE OR ITEM <br /> � Toilel N� _ A/C—air handling units <br /> �; Balhtub%�� Forced air systems <br /> � Lavalory(wash basin) [Nf � Gas piping <br /> Shower / 1_ Water heater <br /> Y Kitchen sink&disposal i% Gas fireplace <br /> 2 Dishwasher Gas range <br /> oL/ Clothes washer i � Clothes dryer <br /> J Water heater � Range hood ' <br /> � Sink (service/bar/mopletc.) � Exhaust fan '� <br /> Back(low prevenler _ Heal pump <br /> Urinal Unit healer <br /> Drinking Founlain � Boiler <br /> Floor drain Refric�eralion <br /> Grec�se trap _ Woodstove <br /> Roof drains Other <br /> Other <br /> I — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceri!ify that I have read and examined this application and know the same to be true and correcl All provisions of la�vs and <br /> ordinaces governi�ig this type of work will be complied with wheiher specified herein or nol The grenting of a permil does not presume <br /> to c�ivc autti;,;ily to violale or cancel liie provision of any other slale or local law regulating consWction or lhe performance of <br /> construction.Th�!I am authurized by the owner of t�iis property to pedorm the work for which application is made and I comply with lhe <br /> Slate Co ra o � W and 296.20 A�. <br /> �j��C' � tJ�D�o <br /> bi ure of OwnedCon actodAu!horized Agen ate i/ <br /> Z <br /> _ _ M�� <br />