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—� — <br />P <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, �VERETT, 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 ;`, ''/ �/— <br />ZA � /� {'�Lpi/ <br />LEGAL LOT N0. BLOCIC <br />DESC. <br />OWNER <br />r <br />ga���� n,u/E�� L��O�;�'/� <br />TENANTNAME ✓ <br />PAFCEL TAX I.D. # <br />TRACT <br />Z� • r�7 , <br />CONTACTFORPERMIT <br />�c�,�o Tu�ictr� <br />CONTRACTOR � ADDRESS <br />� � <br />L1FE,/Y�� %,on9E.'i �f�cv�sfizlc�cn %�z'`fZ St4�a' �vC' <br />CONTR.UCENSEtF .� ./���� t /�7��y'�� <br />�.cFEJ/�C���i�� %r.-%%;��-��7) <br />USE OF BUILDING <br />� n'Ii/ /`e�/C�E'/ICC <br />,-�,�a/� �� y <br />HEATSOURCE <br />�( Elec;ric _ Gas _ Other <br />� — a a—v� <br />PERMIT # <br />( � /�%C'/ "C;/ � <br />PHONE <br />'/' �z% :=ij � r� <br />PHONE <br />✓ _�iS=;�n��/ <br />CITYIZIP PHONE <br />/'�C.�y'd����9,�270 7, , .. <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION L�� L L � <br />—/'E'P�QcE �/un9Li�I%� T�.I7a'�`�'i" i7 •TIs•o Lwf7lhe'n'If/ / �' �t i l �L <br />, ��t,,i// + �.v`R%/�1 �i('��tt'd' S�F_''% /'C('/� �'4Il�C''c'� '/d T'/N�<�/A�c'�[' 1 K�// <br />`/� � `\ <br />—�L�(/YL.r7rE .'!LQ'" ` �� /J'r/ / � / � '/ <br />—nt�w ��i�f-/F_s � m,/�dc,^ � mro�.�tL':il£��;. Yi� <br />PLUMBING <br />N0. � TYPE OF fIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/m�p/etc.) <br />BackAow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trep <br />Roof drains <br />Other _ <br />NO. I NPE OF FIXTURE OR ITEM <br />A/C — �ir hanuimg units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify lhat I have read and examined this appli�ation and know the same to be true and correcL All provisions of laws and <br />ordinaces governing this rype of work will be complie;: with whether specified herein or noL The granting of a permit does not presume <br />lo give aulhority to violate or cancel the provision o( any olher state or local law regulaling construction or the performance of <br />cons��tion. That I am �U orized by the owner of this property to perform the work for which application is made and I comply with the <br />Staj Contractors � w,t .27 �W and �962 WAC. <br />/ �y /� <br />� . '1 �"' ,�.. �� <br />i ature Own onlractodAuthonzed ent �-ate / � <br />�;�'����.���y/N �,����F� 'rz <br />� <br />