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_ � � <br /> PE�, :MIT APPLICATIA�� <br /> C�TY 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> PARCEL TAX I.D.# PERMIT# <br /> SITE ADDRESS � <br /> 1 1°1 °1T� �t�E A-� C)o57y1001OI601 - / <br /> LEGAL LOTNO. BLOCK TRACT � <br /> �ESC. <br /> OWNER Pp ES��� 1OS�( �f30�C1�NP 402a� PHONE <br /> �ATiNNF S�A'1F� �'NV'��1"w� �'C" � PHONE <br /> TENANT NAME CONTACT FOR PERMIT <br /> �Y�tu �YNI� �2s-��K-�8'�I <br /> CONTRACTOR ADDRESS � ��TY2� q�� P�ZS '.ty�Q�K/ <br /> d.YwlP tt. W1�C l-I PtNIC.�L SNG k�b �W 532 ro YNI� � <br /> CONTR.LICENSE#�Y M�M�� I ��D � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electnc �'Gas_Other I �7 �� � <br /> WORK DESCRIPTION ��� �T�+ GOM�'Pl.rc,Tl� 1��T SySTEM� S�T���' <br /> �NSTP�t(. 1. RoCF7�� QAt�cp{,.� <br /> 2 �,'rT F}�Wt Q k li►�i� 1=A'Ni � Grc's Pz P f� 'N 1 Rt.o FCDP �NtT'. <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIXT RE OR ITEM NO. TYPE OP FIXTURE OR ITEM <br /> Toilet � AIC—airhandlingunils <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) = Gas piping <br /> Shower _ Waterheater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Laundry trey Range hood <br /> I _ Sink(service/badmop/etc.) � Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _, Boiler <br /> Floor drain _ Refrigeration <br /> I _ Grease trap _, Woodstove <br /> Roof drains Other <br /> v Other — <br /> I CITY OF EVERETT LOCAL SALES SAX COOE IS 9105 <br /> I <br /> j I hereby ceritify that I have read and examined this applicatlon and know the same to he true and correct. All provisions of laws and <br /> i ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any olher state or local law regulating consWctlon or the performance of <br /> construction.That I am authorized by the owner of this propeRy to perform the work for whir,h application is made and I comply with the <br /> i State Contraclors Law 18.27 RCW and 296200 WAC. <br /> i /� .��� Cf'3a� � <br /> i <br /> S' at f euContractonAuthonzed Agent <br /> L <br /> I <br />