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r � <br /> PtRMIT APPLICATIC�N <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVtRETT,WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> ;APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �p .- OS—D9 <br /> SITE ADDRESS (0�3(5� (C1 7�'e S'� PARCEL TAX I.D.p PERMIT# <br /> ��-E (�o'�. -�r.J�..r.'-`r'r (i-'1�- r'+�:tog � " �� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �((IJ 7f�r%G— cy�°cr�� �1`S kl'�3"GVE <br /> TEN?.NT NAME �L � CONTACT FOR PERMIT PHONE <br /> 411.vF�C.f�E��=-- '1�"' <br /> �I�oN c-A'�-G e-rnaL <br /> ONTRACTOR ADDRESS CI I PHO� <br /> CONTR.LICENSE# r!) � . �/1 n n <br /> \/ v•" �'� l <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Olher � `Z� ' � <br /> WORK DESCRIPTION t �L� �= L( �t �ti �NN Ec� '��E�w DP��1 �A1.1 <br /> �'I 2� � ,v n V u ws3�n�G rw s YE�"+o N S� c+�2n F,c%r3'f-�� �..) <br /> �. 1�� 2 2 , o BT� <br /> '' tj G��N �-G^--��'tC-f�� os� c'�c_u P���'1 , <br /> PLUMBING MECHANlCAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 2 Toilet A/C-air handling units <br /> Bathtub Forced air s;�slems <br /> � Lavalory(wash basin) Gas piFing <br /> Shower � Waler heata• <br /> � Kitchen sink 8 disposal _ Gas(ireplace <br /> Dishwasher Gasrange <br /> � Clolhes washer _ Clothes dryer <br /> Water healer Range hood <br /> = Sink(service/badmop/etc.) _ Exhaust(an <br /> � Backflow preventer _ Heat pump <br /> Urinal Unil heater <br />� Drinking Fountain _ Boiler <br /> Floor drain Retrigeralion <br /> Grease trap Woodstove <br /> Roof drains � Other F�1�IG�1'f. �S <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerility lhal I have read and examined this applicai�on and know lhe same to be We and correcL All provisions of laws and <br /> ordinaces goveming this lype ot work will be complied with�vhether specified herein or not The granling of a permit does nol presume <br /> to give authority to violate or cance:the provision of any other state or loca�law regulaling wnslmclion or the performance of <br /> consiruction.Thal I am aulhorized by ihe owner of lhis property lo perform lhe work for which application is made and I comply wilh the <br /> State Conlraclors Law 18.27 RCW and 296.200 WAC. <br /> ,�jv- 11� � �0—�—�_ <br /> SignaWre of OwnedCoNractor/ uthor�Agenl Date <br />