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•- <br /> PtRMIT APPLICATIC�N <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS P.RE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# P MIT#n <br /> Za�_ '�l��t. �-( �k1 vo4`15ooaoG2oc� .� ' <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �' 2a7- 1��Sf S�� �U� 2.� �{ ��.�-94-9z <br /> �A�: Y r u ac��Z <br /> TENANTNAME CONTACTFORPERMIT PHONE y6niZ� ��� <br /> C�/an.� l�.7�t� Z E�IAIL/��,�ff.nS7••1�-a'��G7 � <br /> CONTRACTOR ADDRESS CITYIZIP PHO <br /> CONTR.UCENSE# %� D <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> � C�—� _Electric �Gas_Cther <br /> WORK DESCRIPTION �\ 11 \ 1r � <br /> �' (� �r�1 <br /> �i,Lq'l/ZCzYi� C���.% / l��'������ , <br /> 3q� ' � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fIXTURE OR 17EM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Balhtub � Forced air syslems <br /> Lavalory(wash basin) � Gas piping <br /> Shower Waler heater <br /> Kitchen sink 8 disposal � Gas tireplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clothes dryer <br /> Waler healer _ Range hood <br /> � Sink(servicel6ar/mop/elc.) _ Exhausl fan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain _ Refrigeralion <br /> Grease lrap _ Woodslove <br /> Roo(drains _ Other <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y that I have read and examined lhis application and know lhe same to be true and correcl. All provisions of laws and <br /> ordinaces goveminy lhis type o(work will 6e compiied wilh whether specified herein or not.The granting of a permil does not presume <br /> to give aulhority to violale or cancel the provisiun of any other s�ale or local law regulatiny construction or lhe performance of <br /> construclion.Thal I am aulhor'zed by the owner of this property to perform the work for which applicalion is made and I comply with the <br /> Slate Contraclors Lyaw 1�RCW and 29G.200 WAC. <br /> ,/�'-' 3-1�_o F <br /> Signalure of GwnedCg raclor/Aulhorized Agenl Date <br /> ✓ -� /a- <br />