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. <br /> P�RI1111T APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-881 G— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D./t PERMIT# <br /> ,�j�0/ 23R/J l7� �✓ E✓E/IG7T �✓A 28oQO2o0200700 � - 2- <br /> LEGA LOT NO. BLOCK TRACT QR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> SfAwAy CO�OU�A7� lvT 3�� [[c 491z NE 97�H Sr S�Ar�� 9frii5 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �f15)�1b3-S6S7 <br /> f���aced l/uF�/ T�hnulo�e5 ;lnnu-lbon Ni;lfun E.a�a� m;�;��� dvCrc�.ne� <br /> AOVANCfO FQt pRVTcci�eni Q 0. Qox /Sy3 y1.5)983-.5657 <br /> CONTR.LICENSEp �OJQI�nV�I�L' WA C/$07L <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Q"/C<. Eleclric _Gas_Olher ..�.>, �1Gd <br /> WORK DESCRIPiION / <br /> �dC� G1 /IG'[✓ Z'� �i�)�' '�0 .Srl/�/��� �7e[✓ l�f��CC .S(.X'i(C'. - .SyS��'�7 <br /> (��sJaec� /„c�,' ,li Jh� NGza�d �20 /�������'n�s �t 8 uN+',yh� he�s). <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> Toilel A/C–air handling units <br /> Bathlub Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal _ Gas fireplace �� <br /> Dishwasher _ Gas range � <br /> Ciothes washer _ Clothes dryer , <br /> Water heater _ Range hood <br /> Sink(service/badmop/etc.) _ Exhaust fan <br /> _ BackFlow prevenler _ Heat pump �/ ' <br /> Urinal _, Unft heater �� � <br /> _ Drinking Founlain Boiler � <br /> Floor drain _ Refrigeration <br /> Grease trap _ Woodstove <br /> Roo(drains _ Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity that I have read and examined lhis application and know ihe same to be true and correct. Ay provisions af laws and <br /> ordinaces governing this lype o(work will be complied with whelhQr specified herein or not.The granting of a permit does not presume <br /> to give aulhorily M violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> conslruction.That I am authorized by ihe owner of this property to pertorm ihe work tor which applicadon is made and i compiy wilh lhe <br /> State Contraclors!_aw 1827 RCW and 296.200 WAC. <br /> '�/�rn ��' l. <br /> �t a , �,t�n 6- �-/� <br /> Signal re of OwnedContreclodAulhorized Agent Dat= �' <br /> Z <br />