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PERMIT APPLICATIOf� <br /> CITY OF EVERETT PERMIT SERVICES --, <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ' <br /> 425-25'-8810 — FAX 425-257-8857 —�vww.everettwa.org <br /> i 3 �I�{�� <br /> APPLICATIONS ARE ACCEPTI:D FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 9�s �3 '� �r 2�05/B6U2o¢600 ;��- .�� /�f <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> ' OWNER A�DRESS CITYRIP PHONE <br /> /�o2r c�r= E!/ERETT 29ii BOND ST. Et�E,�ETT 98206 ¢zs 38B-od o3 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I PoL/ L U/S 4Z5-3BB -0603 <br /> CONTRACTOR ADORESS CITYIZIP PHONE <br /> CONTR.LICENSE# <br /> I USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OH WORK <br /> Eleclric Gas Other <br /> l'lORK DESCRIPTION � <br /> !�EMOL/Sh'E X/57'/��G BU/L/J/N6 NO. 2 3B ���L, i�='`' <br /> (JG gRoo/ts �M/�J� -- <br /> PLUMFiING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR IT'cM <br /> I _ Toi!et _ A/C-air handling unils <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> i _ Kitchen sink 8 disposal — Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer _ Clolhes dryer <br /> Laundry lray _ Range hood <br /> � Sink (serv :e/bar/mo ' .' _ Exhzust fan <br /> BackOow preventer _ Hea;pump <br /> Urinal Unil healer <br /> Dnnking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodslove <br /> Roo(drains _ Olher <br /> � Other _ _— <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceritify that I ha�. _read and examined this applicalion and knn�v the same to be lrue and correcL All provisions of laws and <br /> ordinaces governing this type o(work will be complied with whelher specified herein or nol The grenting of a permit does not presun�e <br /> ro give aulhority to violale or cancel the provision of any olher stale or local law regulaling conslruclion or lhe periormance of <br /> construction. That I am u horiz d by lhe owner of lhis property to perform the work for which applicalion is made and I comply wilh th= <br /> 51ate Contraclors Lav: 1 . � d 296200 WAC. <br /> �� < . , +i ., Y • IC-,� GS <br /> Signature of Uwner/Conlr c orlAUthOrized Agent Date <br />