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F��E2MIT APPLICATII.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETI', WA 98201 <br /> 425•257-8810— FAX 425-257-8857—www.everettwa.org g `� �S <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS A���5 PARCEL TAX I.D.# PERMIT# <br /> I�� 9 I fh �ve s.E. I �sDB �-3 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRESS CITY2IP PHONE <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> T/� C'���c �/�re �i� �Pv�1��t�o `��s-y��-�609 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> Mc-�r�,�''y sp�i��/e�' �o.�ix: P o. �X k�me� �zs-�8 y- <br /> CONTR.LICENSE#��. „Cv�(, O27D� �2�Ot� �8a28 yC�D <br /> �-� fJ(./� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ���I VPQC� _Electric _Gas_Other �7�.�� <br /> WORK DESCRIP ION . <br /> ��t�f�r l �y�i��lE✓' �i��� fh�ovylz�vl` <br /> /lC�w ��I�'hPr� avt ✓hE// ��ce. <br /> /� � /'%�l�l�'s �`U�rl <br /> LUMBING MECHANICAL <br /> NO. I TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Balhtub Forced air s�stems , <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink R disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etcJ Exhausl fan <br /> Backflow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Re(rigeralion <br /> Grease lrap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3705 <br /> I hereby cerili(y that I have read and examined lhis applicalion and know the same to be true and corcect. All provisions of�aws and <br /> ordinaces governing lhis type of work will be complied wilh whelher specified herein or not.The granting of a permit does not presume <br /> lo give aulhonty to vi e or cancel €provision of any olher stale or local law regulaling consWcdon or the performance of <br /> constr i n 71iat am autl ocize y lhe owner f this property lo perform the work for which application is made and I comply with lhe <br /> Sta r La ; �d �S6_2 � AC. <br /> � '�� lL�l. <br /> �'-1-�s <br /> gnalure of OwnedCdntrec dAulhonzed A nt Date <br /> < <br />