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I -- - - - - -- <br /> P�RMIT APPLICATI(��V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8b 10- FAX 425-257-8857- www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 FM <br /> SITE ADDRESS PARCEL TAX I.D.# I�)ERMIT# <br /> / �� S ��2. �1(� S-� _S L � "1��'�.��L' <br /> LEGAL LOT NO. BLOCK TRACT OR SUBUIVI.iION N <br /> C7ESC. _ <br /> OWNER ADDRESS CITY/ZIP FNONE <br /> 'ENANT NAME CONTACT FOR PERMIT PHONE <br /> E�MAIL <br /> TR r _--1--�ib6h�E Z`IT�IZi�—�FRaRF-- <br /> ClY �� E'�cy!�.� hi� c ����•, r'c. l� ��� S(.3 � S L.� �i �e ,5 �� St"a��r/cc.�i# ?c`; �c'. � y.�/�Z <br /> CONTR. LICENSE k ��j���C <br /> 0 iZ'T� G f--� 11 '� --- <br /> USE OF BUILDING I — NEAT SOURCE CONTRACT PRICE OF 6YORK <br /> f-Jcc�, ic Gas Olhcr <br /> WORK DESCRIPTION <br /> '<��� �1 �.�\ �' `` `��� � �`'.�• �I (��t � ;����,-r ss;��� s y S-��<.�.. U�- 3v u � <br /> PLUMBING MECHANICAL <br /> N0. TYFE OF FI%7UR[OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel _ NC-air handling unils <br /> Balhtub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water healcr <br /> Kilchr,n sink 8 �isposal Gas lireplaco <br /> Dlshwashm Gas range <br /> Clolhes washcr Clothus dryer <br /> Walcn c�alr.r � Ran�e hood <br /> Sink(servicc!barhnop!r.lc.) __ Exhaust lan <br /> Oar.kllow preventri _ Heal pump <br /> Urinal Unit hoaler <br /> DrinY,ing Fountain Boiler <br /> Floar drain Rofrigeralion <br /> G�oase lrap Woodstovo <br /> Roof drains Olher <br /> _ Other___ ___. _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I horoby r,erilily Ihat I havo read and examincA this applicalion and know lhe same lo bo lruo and correU. All provisions ol laws and I <br /> ordinaces�overning thi;type e�work will be compliod wiUi whelher specilied herein or noL Tho granting of a permit does not presumo I <br /> to c�ivu authority tc violale or c,�ncel tho prwision uf any other state or lowl law regul�line�conslruction or the peAormance of <br /> conslruc�ion.Thal I am authrrized by Iho owner of ihis propeAy�o pedorm Ihe work lor whi�:i applicalion is mado and I comply wi�h lho I <br /> Stat�ConiracWrs Law iR.2- RCW and 296.200 VJAC. i <br /> ��4�� C -�� �t C.�'(Y �, � l�/��L� 7 _ � <br /> Siynaturo ol O��nodConlractorlAuthorizeA Agenl Dato ��.L <br /> I. _. � - -�-- �- --- --�---- - ----- - ----- - ------ -----. _- . _.� <br />