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� -- -- - - <br /> , -. , <br /> , <br /> PEaMIT APPLICA`TIO�N � <br /> CITY OF EVERETT PERMIT SERVICES '' <br /> 3200 CEDAR STREcT, EVERETT, WA 98201 I <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org �, <br /> ANPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> SITE AD RESS �,' PARCEL TAX I.D.# PERMIT# I <br /> I �L t� _ a � : �c � �� � (�,0�f -/� <br /> IEGAL LOT NO. BLOCK TRACT <br /> �GSC. �- � ^ ' <br /> OWNER ADDRESS CITYIZIP PHON <br /> ,�I�-I�, (J � � ��on I�'q11 �l� L'�.�crrrrr ('r� Li�.��u ►�-hp.ld ,���. q�!( <br /> TENANTNAME CpNTACT ORPE IT PHONE <br /> �, l�l���� ' � • � ! �0 n �n <br /> CONTRACTOR �f� 1 `�r. 1 ADDRES ��j,C� ��n �J'f`! P / ���4LJ-�r�a'��C <br /> �w'' �L � ,�r.�t ✓ <br /> CONTR.LICENSE� errulJ�:���(�P,I !L-- <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �-�CIA� � _Electric _Gas__Other � � I / �� �v <br /> WORK DESCRIPTION ��j J-�(,L�� �) � a � � H �( 1'( � � ?'�J !� �+ � � �(V7 f7�� Q��1 J k(�j <br /> �cP�j I�}tF�rs �'h.ou�i� o� � �ex�r�vr r�cewa� . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathtub Forced air systems <br /> Lavalury(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Water healer Range hood <br /> Sink(serviceNar/mop/etc.) Exhausl fan <br /> Back(low prevenler Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain _ Boiler <br /> Flom drain Re(rigeralion <br /> Grease lrap Woodslove <br /> Roo(drains Other <br /> Olher <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same lo be true and wrrect All provisions of laws and <br /> ordinaces governing this type of work will be complied with�vhether specified herein or noL The granling of a permit does not presume <br /> lo give authqqly io violate or cancel the provision of any olher state or local law regulaling construclion or the performance of <br /> wnstruct�n. Tl:al I am aulhorized by the owner o(this property to per(orm lhe work for which application is made and I comply with lhe <br /> Slale nl ctors 18.27 R W and 29G.200 WAC. � <br /> �� 7 <br /> Signatur r/ ontra lor Aulhorized Agent Date <br />