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P�RMIT APPLI�CAi'I(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, INA 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.# P MIT# <br /> I �yl `� I`it� ;N�� SE, c-i o� c�s��l� �� a ►Ho i ��70/ �d'>7 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. � � <br /> OWNER ADDRESS CITY2IP PHONE <br /> p��y«rd,n I�ue.�aj��,..r.nt P.o, 'aox lo��i s�'� mish Wi� y 3�-I SO �� <br /> TENANT NAME CONTACT FOR PFRMIT PHONE <br /> ,��)�� �"�o-��te�I� CnP�}�.1 �r:.hi+e�_�s �S�nc�i�. ��c�r� ��3»_�p� -1 <br /> CONTRACTOR FN��f' �2��+ GO�rJlr�It'61"� A���SP�7�- �JS.3S Arl n�Zf` L1�3HONE <br /> CONTR.LICENSE# PWl T WC i 8�K(o C �-��S��I�C����O <br /> � .��/i5/o� <br /> liSE 9 BUILDING HEAT SOURCE - CONTRACT PRICE OF WORK <br /> t� + � v � j _Electric _Gas_Other ���� <br /> L � <br /> WORK DESCRIPTION <br /> �ennn-F �m��ove��,,�{� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. � TYPE OF FIXTURE OR ITEM <br /> Toilet _ FI:—airSiandlingunits <br /> Bathlub _ Forced air systems <br /> ;.�valory(��rvash basin) Gas piping <br /> Si;nWer Water heater <br /> Kilchr.n sink&disposal Gas fireplace <br /> Dishwsshi. Gas range <br /> Clothes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> Backflow prevenler Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y lhat I have read and examined this application and know lhe same lo be true and wrrect All provisions o(laws and <br /> ordinaces c�overning this type of work will be complied with whelher specified herein or not.The granling of a permit does not presume <br /> lo give authority lo violale or cancel ihe provision of any other stale or local law regulating construcUon or the performance of <br /> co ion.Thal I am aulhorized by the owner of this property to peAorm the work forwhich application is made and I comply wilh the <br /> le Con r ctors Law 18.27 RCW and 296.200 WAC. <br /> � � � J �/� <br /> r Co aclodAulhcrized Agent ate <br />