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_: _ � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERIIAIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT. WA 56201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM � /�,��)� .�� <br /> �, <br /> 91TE ADDRESS I'ARCEL TAX I.D.# PERMET� <br /> i ol4 Iqt� V�NU� �.E 2e�5iq��� . - 4"�fi'�"�$ <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. Z���'{�� <br /> OWNER ADORESS 2-�� ��Y CITYiZIP PHONE <br /> � <br /> �,tll�'k� ���/.,�UIl-�1��{��L E��� �V� �1E1��1'r/qPJZb� ���}�D <br /> TEhANT NAME CONTAGT FOR PEflM1T PHONE GJ� •2��C��p(� <br /> � 1 I w�� '� 1 1 �v�'i5S G�fIPJ� P�-1��.�1 � E•MAIL�M�-���C�I�P m .``� <br /> �M��j LO�IGj71��(��NADDRE S C1'P/�I� <br /> �io ���r �oe yov-rf{-, �r����rntt 9'�.�al��F�33 <br /> CONTR. LICENSE# Gv��IG��.��o� �IT� I� �'1'O <br /> USE OF BUILDING HEAT SOUFiCE CONTRACT PRICE OF WORK <br /> I�{�i�/�'IrriSS CLUP7 _Eleclric _�Gas .__Ottier $���`��a,—�2 I <br /> WORK DESCRIPTION h���, L� � �ro�(�i�/L��h���W P���� Ir'l� i�- I <br /> ��to ��c �"�N� a�c' r ����%��h, WO ► � tn G-�1� RGr�M r� <br /> "�Ut�- <br /> V <br /> � <br /> � � ,�E, s. � � I�c :�l I�� . I., <br /> PLUMBING _. MECHAN!�AL � <br /> NO. TYPE OF FIXTURE OR ITEM N0. �_TYPE OF FIXTURE OR ITEM11 <br /> �I �j Toilet _ _ AiC-air h:ndling unils <br /> � Bathlub -- Forced air systems � <br /> IY Lavalory (�vash basin) � Gas piping ' <br /> � Shower Water heater �'� <br /> ^ Kilchen sink 8 disposal �" Gas fireplace i.Jp''�,;;� ' <br /> ^ Dishwasher �' Gas r. nc�e I /`' ./�9� <br /> 2/ Clothes washer � Clo�he;dryer �'�,�d S <br /> � Waler liealer Rangc �ood '�In p y�7� � <br /> Sink (servicelbadmop!etc.) � C-xhaus.fan � � <br /> __f_ Backllo�v preventer ^ Heat pump <br /> 2 Unnal Unil healer , -_� <br /> �_ Drinkinc�Founlain —= Boiler � � . <br /> �{Q Floor drain -- Fielric�eralion l, � <br /> Grease Irap r" Woodsicve � � <br /> — Roof drains � Olher . <br /> __ — <br /> — Olhnr--.- -- - <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I heroby cerilify thal I have read and eaamined Ini, applicalion and knov:the same to be Irue and correcl. AII provisions of laws and <br /> ordinaces qoverning ihis lype ol�vork will be complied with whether specilied herein or not. The granting of a permil does nol presume <br /> to c�ive aitll�ority to violale or r.ancel Ihr. provision of any olher state or local law regulaling consiruction or the periormance ol <br /> co�e�tri clbn. Thal I am aulhorize by Ihe owner ol Ihis property lo perform the�vork lor�vhich applicalion is made and I comply with ihe <br /> al oi � � rs _��v 18 27 R .V aod 296.2G0 WAC. <br /> I� � I�• 4� <br /> S e o O er; on rad i ulhonzed AgeN Dale <br /> U��T1�Fi �u�Y-GW -G�PUVP �'��2{E-- — I <br />