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- -- ---- <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.evere�twa.org I <br /> APPLICATIONS ARE ACCEPTED FROhi 8 AM TO 4 PM � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N I <br /> I J l r� //ti L� d � •`� C_ �— -- �Uc�DI- OO�I <br /> LEGHL LUT NO. BLOCH TRACT OP.SUBDIVISION N <br /> UESC. <br /> OWNER ADORESS CITY/ZIP PHONE I <br /> �s�� i � z r t, s � � �. , E ��,��.�� , c�r9 ��6- �� 9_6 9 0`,� <br /> TENANT NAME � CONTACT FOR PERMIT PFIONE LQ�:_ �y��- L�/LQ <br /> ('�'C! ELE' ly{E' l�✓�c'�'1�' ��ll��� .�CSf' �/��I��tlf Z_ e�rnai� 05e.�� r�'-��i�o�s o� <br /> Z�dAY€AZTbk- / o �-- , <br /> l�1(Z1O�'1�� �.�, ��C, '��C �1 � �.�.V1�vt' r!� � S�SA C['w <br /> CONTR.UCENSEN 1 � ` � �J / � J� , �G �. �`/ <br /> C�'f�PfJp �� y c�-p�> C __ s ��,i9 r�i E c�: �9 y �' �'Ct <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> I �Eloclric _ Gas_Olhor �Z�C <br /> WORKDESCRIPTION �j� � n ' • �' � <br /> O -� �, �S, IG�P G�-LC. .-��-c>Lt.c-c Ir� �G�l.� (,�.;�.0 <br /> � � � <br /> �r;'� rl � �< C(/' ��.CCC ��� �CL�tI"_27��� ��7C��� �� CiCOi <br /> " / <br /> PLUMBING MECHANICAL � <br /> N0. TYPE Of FI%TURE OR ITEM NO. TYPE OF FII(TURE OR ITEAi <br /> lbilel AlC-air handling units <br /> �athlub Forced air syslems <br /> _ La�•alory(wash basin) Gas pipinc� <br /> Shower Water healer <br /> _ Ktichen sink 8 disposal Gas lireplar.o <br /> Dishwasher Gasranye . <br /> Clolhr.s washer Clolhes dryer � <br /> Waler heatcr _ Ran�e hood <br /> Sink(scrvir.clbarlmop/e�c.) Exhaus�fan <br /> � Backflo�v picveNer _ Heal pump <br /> I _ Urinal _ Unit hcalcr <br /> Drinkin� Founlain Boiler <br /> Floor drain Refrigcration <br /> i � ___ Greaso irap _ Woodstove <br /> . Rool drains Olher _ <br /> I Olher <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritily thal I have reaA and examined lhis applicahon and know Ihe same to Ue Irue and wrrecL All provisions of laws and <br /> ordinaces�overning Ihis type o�work will be complied with whelher specilied herein or not.The granting ol a permit does no�presume <br /> - tu give aulho,.ry lo violate or�.anr.el Ihe provision ol�ny other slale or local law regulating construclion or Iho pedormanco of <br /> �� r.onslruction. That I am author¢ed by the owner of Ihis property to p�rfurm lhe work for which application is mado and I comply with Ihe <br /> � St;de Coniraclors Law 18 7 RCW and 2�J�09V�AJ.' Q <br /> � ���1/;'� ��i� ���'-�.� (�/ 2 Z��rC.� • <br /> L <br /> i Si9na ve ot OwnedConlra or/Authorized Agenl D lo I <br /> I/Z <br />