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i <br /> PE�rtMIT APPLICATIOh � <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM v �f,`I� UU� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> Q31� f°tt`' S� � , <br /> LEGA LOTNO. BLOCK C . t,f� ' � <br /> oesc. — — ' �Z-l. /f"✓�.��LC�,�4 `� ' .. � <br /> OWNER ' ORESS CITY2IP PHONE <br /> lJ� � . G <br /> TENANTNAME TACT PERMIT PHONE � <br /> I � ,�D.S . - , , <br /> ONTRACTOR ��� DRESS�'� TY I�Z 'Irw� ��� <br /> �ierezr <br /> CONTR.LICENSE# �. <br /> �'�Il�C.07?!%1Yf <br /> USE OF BUILDING HEAT SOURCE �ONTRACT PRICE OF WORK <br /> � �. _Electric _Gas_Other V(p I, �� � �� <br /> W�Rtc D�PTt�o '+—+LS�Q--�� C�) D i2ei S�" O� I.l D�U�—l �I(,�,1'I'l1�IQ7'P.� �GlIyIJKL[.rl'f <br /> I.� l..tX�B - <br /> � <br /> PLUMBING MECHANICAL <br /> NO. Tl'PE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toitot A/C—air handling units <br /> Bathtub Forced afr systems , <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kilchen slnk&disposal Gas fireplace <br /> Dishwasher Gasrange <br />, Clolhes washer � Clolhes dryer � <br /> Waler heater Range hood � <br /> = Sink(service/badmop/etc.) Exhausl tan � <br /> _ Backflow preventer _ Heat pump <br /> Urinal Unft heater <br /> Drinking Fountaln Boiler � <br /> Floor drain Refrigeration � <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 � <br /> I hereby cerili(y Ihat I have read and examined lhis applicalion and know lhe same lo be Irue and correcl. All provisions of laws a d <br /> ordinaces governing this rype of work will be complied wilh whelher specified herein or nol.The grenling of a permit does not pre me � <br /> to give authority to violate or cancel the provision of any olher stale or local law regulating construc0on or the performance of ' <br /> constr ' n.Thal I m aulhorized by the owner of this property lo periorm the work for which applicalion is made and I comply wl h lhe: <br /> Stat tractors a 10.27 CW and 296.200 WAC. <br /> � tdbQ <br /> Signatu ! ontract .'4uthoriz�d Agent ate �/ <br /> L <br /> i <br />