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P�RMIT 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 /> s�JVe1'' �� p/Q�R�LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �/ . 'a-I -O7 <br /> i <br /> SITE ADDRESS ` C"1 ,�u� PARCEL TAX I.D.# PhRMIT# <br /> ( I q � �-tGl �YP. J: E- K 0 l � (-c� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �1s - 960 <br /> TENANT NAME CONTACT FOR PERMIT PHONE �Cv —� ^^B(`�� <br /> �////l.ls /��Jv/u��e ' ` ��/Cy " "�/� DP�?c�+'�ir�DE-h,a� r�pr��r�sa � <br /> CONTRACTOR A DP.ESS CITYIZIP PH NE � ��� <br /> Me✓'cury c1��r���Ii�J�/' ��- /�c. p.c� . ��x c1Pc�}�le WA <br /> CONTR.LICENSE# ME/�e��C o27DE 3�sg�- r����3 <br /> USE OF BUILCING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ���� ��/Y'7'-!`� _Electric _Gas_Other � 970. �� <br /> '� � <br /> WORK DESCRIPTION (�aa t ����Q� (`fPr���/�e�" C���J nG I?PIiY �T.�' <br /> ��'q�P- � �P��i�/�'�r �'i�p� 7��fq/. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet NC—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clo!hes dryer <br /> Water heater Range hood <br /> Sink f;ervice/bar/mop/etc.) Exhaust fan <br /> 8ack(low preventer _ Heat pump <br /> Urinal • Unit heater <br /> Drinking Fountain _ Builer <br /> Floor drain Refrigeretion <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Olher <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceriti(y that I have read and examined lhis applicalion and know the same to be lruP and correct. All provisions of laws and <br /> ordinaces goveming ' lyp�� rk will be complied wilh whelher specified herein or noL The granting of a permit does not presume <br /> lo give a lo (olal r c4 ancel if pro ' on of any other state or local law regulating construction or the performance of <br /> c,onst clio . I a authoriz owner ot lhis property lo perform lhe work for which application is made and I comply with Ihe <br /> Sl � C 1.$. <br /> - - - - �/ 2�/ <br /> S gnaW e o OwnedConlr r u orized Agent Date <br />