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1 � <br /> PERMIT APPLICATION <br /> GITIf OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREcT, EVERETT, WA 98201 <br /> �t25-257-8810-f'AX 425-257-8857-www.everettwa.org <br /> APPLICATlONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 ,., �j.r�a <br /> SITE ADDRESS _;1� PARCEL TAX I.D.M PERMIT tl <br /> �� � b �l <br /> J �5 1 L3' Dr ; `so4U2oa��v ��%u � � ooa - D� <br /> LEGA LOT NO. BLOCI< TRACT OR SUBUIVISION 11 <br /> DESC. <br /> OWNER ADDRESS CITV/ZIP PHONE <br /> `�'�..i..)�".,..L �,���/'r ��. '{-✓_ �-�i� � L y�� 3� �.�'` �7 �{� �'f , �c•,_'M L' ��rJ�/.S <br /> /I — <br /> TENANT NAME '� CONTACT fOR PERMIT PHONE 9��� .. �G 3- /?�/�/ pr� � { <br /> / � j.� L � � <br /> �G Ll�':- � j�F�7'TG / �G� ( ' �'i�C; �i. � E-MAIL Y/?..��L�PG'P���vet..h . <br /> N r I I I .il.(�o <br /> rl�%�'�,�,>,� �PT�'j.' ..:� :._ '�� � Kz,��_-� St 5c°.. l1%e 9�Jn�'t� <br /> CONTR.LICENSE It !� <br /> � VC IZ L'.: l� �7� �� 1� Z. <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Eleclnc j�Gas_Other �j �� ��S� <br /> i <br /> WORK DESCRIPTION j) <br /> %,95 �..ri <_=�r,f �'.�5� �2rG� �, SC>�'.�.�� (7/ Px�.. ti_; "� ��-hS �, �o� D,� � ��/ <br /> /� / <br /> (Y�Lcf�rSS ����.. { '��<,,� _ <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FI%TURE OR ITEM NO. i YPE OF FIXTURE OR ITEM <br /> Toilel � NC-air handling units <br /> Bathlu6 For.;ed air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplaca <br /> Disliwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water healer Range hood <br /> Sink(servicelt admnplztc.) _� Exhaust(an <br /> Backflow preve��ter � Heat pump <br /> Urinal Unit heater <br /> Drinking Fo:mtai i Boiler <br /> Floor drain Refrigeration <br /> Grease Irap Woodstove <br /> Roof drains _ Other <br /> 'Iher _ <br /> CITY OF EVERETT LOCAL SALES TAY,CODE IS 3105 <br /> I hereby certify Ihal I have read and examined this applicalion and know tt:e same lo be true and correcL All provisions of laws and <br /> ordinanr.es�overnin�liiis lype of�Nork will he cnmplied wilh wl:elher specified herein or�ot.The granting o(a permit does not presume <br /> lo give autharily to violale oi cancel ihe provision of any other�tate or local la�v regulaling construction or lhe peAormance of <br /> conslruction. That I am auC�orized by Ihe owner oF this property to periorm the work for which applicalion is made and I comply with the <br /> Slale Con�ractors Lavi 18.27 RCW and 296.200 WAi;. <br /> 7 � � <br /> �" .:1�'�—.;� — .l- `/,'3/ <br /> L <br /> y�lgnature of OwnerlContractodAidhorizeA Agait Date <br /> �/L <br />