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r - -- <br /> PE�ZMlT APPLICATION <br /> CiTY OF EVERETT PERMIT SE�2VICES <br /> 3200 CEDAR STREET, E'JERETT, bVA 98201 <br /> 425-257-8810– FAX 425-257-d857 –www.e,i�rettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T�4 PM q _a s-�b <br /> SITE ADDRESS PARCEL 7AX I.D.# PERMIT# <br /> �5sc-7 �d`-� I� � S� � ����a�Doc� �S ac� �/1�1� "�� <br /> LEGAL LOTNO. OLOCK 1'RACT <br /> cesa � -=(^j� C.! � �� tM 1 LUIC-!A 1 Tfz �� <br /> OWNER ADC)RESS CITY/ZIP PHONE <br /> � �" ��x2E1� <br /> �ttR� �E�viS �65D� 1�t� A�e_5� R�z�s uzs-�l3�- �s3�! <br /> I TENANT NAME CONTACT FOR PERMIT PHONF <br /> ��G� C���� `dZh"��6�5�-1o`I z , <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> Wtc:a�� N�icztta,c�rc�c , '�.�C. l�c.dn�o.uc� �lz5-�Ss.3 -`�izz�� <br /> CONTR.UCENSE# ��3b /53��hOL- - ,11z. <br /> VtRL-�ztiWtLICc3CN-t �'-t{SC�Z fr.�. iz'{.� <br /> USE OF BUILDING I HEAT SOURCE i3ONTRACT PP.ICE OF WORK <br /> S 't— � _Eleclric�Gas_Other �/�il C z�Z — <br /> 7 J <br /> WORK DESCRIPTION <br /> L�H.S •-�U �a/i� �l.C2r(��2CL }ZE�c(/7-L<<ZZEU7 Ll�/?/� f��C �0/L <br /> �— --�-_� �,�.Ca <br /> — PLUMBING MECHANICA� <br /> NO TYPE OF FIXTURE OR ITEM N0. j TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> [3alhtub = Forced air syslems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower W ater healer <br /> Kilchen sink& disposal _ Gas(ireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(scrvice/badmop/elc.) _ Exha.asl(an <br /> Backflow pravenler _ Heal pump <br /> Urinal Unil heater <br />; Drinkinc� Founfairi _ Boiler <br />, Floor drain _ Re(rigeralion <br />' Grr,ase trap _ Woodstove <br /> Roof drains _ Other <br /> Olher <br /> � <br /> Clh'C�EVERETT LOCAL SALES TAX COUE IS 3105 <br /> I hereby ceritily that I have read and examined this application and hnow the same to be lrue and correcL All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or noL The granting of a permil does not presume <br /> l0 9ive authorily to violate or cancel tlie provision of any olher slate or local law regulating conslruclion or the performance of <br /> construclion.That I am authorized by lhe owner o(this properly to peAorm lhe work(or which applicalion is made and I comply wilh the <br /> Slale Cuntraclors Law/1�'� 7 RCW and 296.200 WAC. <br /> ` i %rZ21�✓ <br /> igil� r�. �; wnedCo i raclodAuthorized Agenl Da� <br /> <' <br /> ---�-- —_ ---�—.� ---- ------------- <br />