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-- , <br /> PERMIT APPLICATIO�� <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# <br /> r �Y i�r^'� A��, s� µ , _ ��oc�s�Y�co �or�or � �il � a "-� <br /> LEGAL LOT NO. BLOCK �RACT OR SUBDIVSSION# <br /> D[SC. <br /> OWNER AC�DRESS CINIZIP PHONE <br /> ti1li: �:,� S�,�R.�r '.���s�.��.-� ��' �x l05�� S„oc,��.,,4 WA 4�.�q l <br /> TENANT NAME r CJN7ACT FOR PERMIT �ttONe(y�g�7�G- S'FS35 <br /> E���:C�- /�Q^jL5 ��,+�SiC���L.r I�Uc�✓is` /lrwqrJm�4s�berrynew.$i�NS.co. I <br /> E-MAIL <br /> � �' ADDRFSS CITY/ZIP PHONE <br /> CONTRACI'OR '7[�� (��.«�e50.1 Q�� L—Uc'!c''� � I.✓/¢ �'�Sp�:J� ��I <br /> �rr�y A�:c.� 5�5�� Sy��e,,,,� � <br /> CONTR. LICENSE# �� <br /> QCRRYti'c� 77cM (��5) 7 76 - ��35 _._ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WGRK <br /> CU.u..ei4�:G i�c� _Flectric _Gas_Other � �J� ( �'f� � <br /> WORKDESCRIPTION �µ���I � � � ���.t5� r✓h���� (ly Ii f � <br /> 5�ji,l f� !��(-o�,in�ea..t!!l� (�'� c�na.a.�l� � (e'f`fc'.'i -r Lo.,io .�•,•o��ii��- KtX-rc'r�o.- wi,-i.,Jc lcc�tca.�i>/ <br /> S�'c�i 2 ! sr-1 oS l�-�N.r�a!! !,f c �ia.�KC �e���✓'; _ f'�-��a�or w�:��'.� Qncc w�_y � <br /> J PLUMBING MEC ANICAL ' <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> �%�. Toilet /L' A/C—air handling units <br /> ' Bathtub Forced air systems <br /> Lavalory (wash basin) Gas pipi�g <br /> Shower �Naler healer <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Waler heater Range hood <br /> Sink(service/bar/mop/elc.) Exhausl fan <br /> Back.flow preventer Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Plocr drain Refrigeration <br /> Grease trap Woodstove <br /> � Roo(drains Olher__ <br /> I O�her <br /> . I <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y that I have read and examined this application and know the same lo be true and correct All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether speci(ied herein or noL The grenting o(a permit does not presume <br /> to give authority to violate or cancel lhe pwvision of any other state or local lew regulating conslruction or the performance of <br /> construclion.Thal I am aulhorized by lhe owner o(this properly lo perfonn the work for which applicaEon is made and I comply wilh lhe <br /> Slate Contraclors�w 18.�� RCW and 296200 WAC. <br /> �u� -� � ��� f �(/o���til.�es :�c� 7 <br /> Signalure o�� wnedCoNractodAuthorized Agent Dale �(L <br />