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�tRMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIi:CS <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everetiw:.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �p � 7—/� <br /> SITE ADDRESS PARCEL TAX I.D.tt P RMIT M <br /> I�,Z7 1121� �t SE� 2$051q00y0100� �0� � 4 <br /> LEGAL LOT N0. BLOCK iRACT OR SUBDIVISION p <br /> DESC. SEE SHCET "j'1-O <br /> OWNER ADDRESS CITYIZIP PHONE <br /> C'/G �rs�crt Pv�(��'�;e5 � BC�x �03 3el\�e�ue �SSG�Ci9 yz5-z8��-273� <br /> TEN��NT NA� ME CONTACT FOR PERMIT PHONE L�Z ' 70 -�p JQ� I <br /> I/lC C�Iz't�Yi�C ���(.L �QY�� F� ��PPI E�MAIL �FnIr�COhY1C�4¢.5�yi.l om <br /> ?r3D � <br /> CONTR.UCENSEa I <br /> -- I <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK ', <br /> — /� ��Eledric _Gas_Olher � I 3�� ��U <br /> WORK DESCRIPTION <br /> rniiiA..( T�Qnt TmPrdverx��'14 �r GL YI.Qc.0 b�ilc�i✓��• ��S TT �incl <br /> �Z) nRc� N�? Q�irw�,-,`� �u d�rS � le�i�� a�d (�'fifi��; C � I� <br /> [�v�si�+-' `J�c'�1Q.,� • r�� J � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%1 URE OR I7EM NO TYPE OF FIXTURE OR ITEM <br /> � I odet � NC ��au handling unds I <br /> l3alhtub Foiced air syslems <br /> � Lavalory �wash 6asin) Gas piping <br /> Showcr Water heater i <br /> _ Kdchen smk 8 d�sposal _ Gas lireplace I <br /> Dishwasher _ Gasrange , <br /> Clolhes washer Clothes dryer I <br /> _ Waler healer Range hood I <br /> Sink(scrvicc/badmop/cic 1 Exhaust fan <br /> f3ockllow prevenler H�21 pump <br /> Unnal Und heater <br /> Dnnking f"ountain �mler <br /> Floor diain Reingeration <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CO!lE IS]705 <br /> I hereby certily Ihat I have read and ezammed this applic2hon and know Ihe same lo be Irue and correct All provisions ol laws and <br /> ordinances govemmg Ilvs type o�work wtll oe comphed wtlh whelher specdied hereir.oi not �he granting ol a permit does nol presume <br /> to gwe aulhori(y�o violale or cancel Ihe prowsion ol any olher state nr local law reniJahng conslrudion or the peAormance ot <br /> � cunstruction That I am aulhonzed by Ihe owner ol Ihis property to pertorm the wor'i loi which applica�wn is made and I comply with Ihe <br /> � Stale Con tors Law 1�27 RCW ar��29G 200 W�C / <br /> � �� ,� � " � ' `�%Z� 0 � <br /> _,_f <br /> � SignnWre of �wi cr�nliac ulho zc Ayenl D te � � <br /> i ��2 i <br />