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' P�RMIT APPLIC/��'�ON <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org � ��-3 _�/_ <br /> i �t7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT AC�EPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PE MIT# <br /> 8/> /4'��S'T. Z�oS/Bb0207J00 l�(;"( %3- 7 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS CITYIZIP PHONE <br /> /�oRT OF El�EiPETT 29//.SOrVO ST. E!/E,PETT 98206 ¢ZS-388-Od D3 <br /> ' TENANT NAME CONTACT FOR PERMIT PHONE <br /> POL/ L U/S 4Z5-388 -0603 <br /> CONTRACTOR ADDRESS CITYlZIP PHONE <br /> CONTR.LICENSE ft <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric Gas Olher <br /> WORK DESCRIPTION <br /> DEMOL/SH E X/ST�NG $U/L O/N6 NO, /7 <br /> �ti�,��e.e M�,��,vE mAi,vr.) <br /> PLUMBING MECHANICAL <br /> �O. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling unils <br /> BalhWb ' Forced air systems <br /> Lavalory(wash basin) �� Gas piping <br /> _ Shower ,,� � Waler heater <br /> Kitchen sink 8 disposal �' � _ Gas fireplace <br /> _ Dishwasher ��L __ Gas range <br /> Clothes washer �,( _ Cbthes dryer <br /> I _ Laundry tray �� � _ Range hood <br /> Sink(service/badmop/e�c.) Exhausl(an <br /> � BackOow preventer _ Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeretion <br /> Grease trap Woodslove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> hereby ceritify that I have read and examined lhis application and know the same to be lrue and correcL All provisions of laws and <br />� �sdinaces goveming lhis type of work will be complied wilh whelher specified herein or not.The granling of a permit does not presume <br /> lo give aulhoriry lo w late or cancel lhe provision of any olher stale or local law regulating construction or lhe oerformance of <br /> conslruclion. Tha I a au�onzed by the owner of Ihis property to perform Ihe work for which application is made and I comply wi�h lhe <br /> Stale Contr clors aw 8�27� CW and 296.200 WAC. <br /> -� � l � F; , � F, L-�`;" <br /> Signature of Own ` onUactor/Authorized Agenl Dale I <br />