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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT it <br /> � 0�4 �q� �v�u� �.E �5����� r� �,��:� - ��� �' <br /> LEGAL LOT N0. BLOCK TRACT OR SUBOIVISION# <br /> UESC. Z�� <br /> OWNER ADDRESS 2�� �Y CITY2IP PHONE <br /> CA��C�/ �JG �ROL��: Pc�1 Fi ��if'r `�"�✓' •ZCJ2i• <br /> ��/� �� ��� /��� ��� <br /> TENANT NAME CONTACT FOR PERMIT PHONE G✓� •2�.��(j <br /> G`l �Ir��� �t IvFiSS �Ji�T r✓I�uv Fi �"� t�GW /� E-MAIL�I4V�-uVCI'�V� •�.Y'+ <br /> (,UA.-t,�g�lA1Z� CONc�(x10N� �d+z>"r 100 �ovTff-� yr'��Urn�t 9'�(�S}'33 <br /> CONTR.LICENSE p GV MY�1lG�-`�'S0� ��� �� � _ ���o <br /> J �?� - v � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ('tFi����((NtiSs CLVQ'j _Electric �Gas__Other �7/� ��D��� <br /> WORKDESCRIPTION ��G h�(�L,��' I� j.��jlh) WPctAI�� Irv�� �OR- <br /> ��17 �i����-���w ( �.aNC��^�'�y� �rr✓� � j"W/�"' 1 ,�� ��j �(� � <br /> �'-p�Z �DOI�i / <br /> P�D�(9� �Dd�• � '�-�UrK �.. � �,t�.�-� <br /> PLUMBING ' MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTUFiE Ofl ITE�.1 <br /> � �7 Toilet _ _ A�C-air handling units <br /> -' Qalhtub — Forced air systems <br /> I1/ Lavatory(wash basin) � Gas piping <br /> �(j Shower Water heater <br /> -"' Kitchen sink 8 disposal �' Gas fireplace <br /> -- Dishwasher �' Gas range <br /> 7i Clothes washer _2 Clothes dryer <br /> =� Water heater Range hood <br /> Sink(serviceibarhnop'etc.� � Exhaust (an <br /> _f_ Backllow preventer --' Heat pump <br /> � Urinal �- Unit heater <br /> Drinking Foun�ain ----- Boiler <br /> �Q Floor drain — Relrigeration <br /> Grease trap --' Woodslove <br /> -- Roof drairs � Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cer I have read and examined this application and know the same to be true and correct. All provisions ot laws and <br /> ordinaces go� .� .�this rype ol work will be complied�vith whether specitied herein or noi.The granting o!a permit does not presume <br /> lo give authorily to violale or cancel the provision of any other stale or local law regulaling consiruction or ihe perfqrmance of <br /> cops!n c1'on.That I am a�nhorize�by the owner ol this properry to perlorm the work for which application is made and I comply with the <br /> S ai� oi t 3 � rs aw 18 27 R�UV and 296200 WAC. <br /> I� � I�� b� <br /> e o O er� on rar.t i uthorized Agent � Da�e �'.v <br /> G1fp{��(lf�i �1A�Y�W -l�P��1' Mkl.��l <br />