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PERMIT APPLICATION s _,�-0� <br />CITY OF EVERETT PERMIT SERVICES <br />425•257�8810D FAX 425 257E 85RET� e e8 ttwa.org � ��� )J�l <br />APPUCATIONS ARE ACCEPTED FFJM B AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. k <br />Ic19 II�-'`.St S►v' �dnifl �+'A 9R: c4 CK� 2 c� 025��1 <br />L[GAL LOTNO. BLOCK iRACT <br />DESC. Z,,,�j .1 <br />TENANT <br />� <br />(,2At�N�I� <br />�, r� .%�.li�n,�, <br />� r.(Si�'. Co. I fiwl•. <br />CONTRACTOa � <br />"j.�. lil-l«t; ���rv�.i��., .tc <br />CONTR. LICENSE f _� � ��� � I <br />°l2 1 Evt� e <br />CT FOR PERMIT <br />���.: erS <br />ADDRESS <br />. 3siZ n,�,•„t W�� s <br />ozz �� <br />c <br />� � �v s - lX�( <br />PERMIT p <br />$C�c. —��3 <br />PHONE <br />v$/18203 �ls.2Se.z <br />PHONE <br />2u.41�1. I$2.C�, <br />CITV2IP PHONE <br />S�tA� �941J g 2�4, .'li� 7. �s� �, <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />n'7��CQ� �' }�''��I �I�h�G _Electnc_Gas_Olher �S�O��C�,bG <br />WORK DESCRIPTION <br />�Hhta�lai�'�. e�C a Me�ww.v�t{ 5_���� , S�� 9�. �e-•H �G e e.�1' � K <br />r�acs. ce�c.rP�i-� �'�^ M��tll ln.+k-� 5, <br />NO. I TYPE OF FIl(TURE OR ITEM <br />I _ Toile� <br />Balhtub <br />_ Lavatory (wash basin) <br />i _ 5hower <br />Krtchen s�,nk 8 disposal <br />� Dishwasher <br />I Clothes washer <br />I _ Laundry iray <br />_ Sink (servicelbar/mop�etc ) <br />I Backflow preventer <br />' Unnal <br />'� �nnking Fountain <br />Floor drain <br />I _ Grease trap <br />Rool drains <br />I O�her _ <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas freplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Und heater <br />Boiler <br />RelrigeraLon <br />Woodstove <br />CITY OF EVERETt LOCAL SALES TA%CODE IS 7106 <br />I hereby centify Ihat I have read and e■ammed Ihre applica6on and know the same to be true and correct All provisions ol laws and <br />ordinaces goveming this type ol work vall be complied wnh whether speafied herrin or not The gran6ng ol a pennit does not presume <br />lo g�ve auUionty to wolate or cancel the provislon ol any other state or local law regulating conslrudion or ihe performance ol <br />conslruchon Thal I am authonzed by Ihe own�r ol ihls propeny lo periorm the work for which apphca6on is made and I comply with the <br />S�ate Contractors Lap`"'� RCW and 296 200 WAC. <br />/% �.s l �.[ _ '�l��j-�C� <br />Sign ure o Hn omractorl ut onzr.d gent �ate �I <br />