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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32Q0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � Z"� �-D i <br />SITE ADDRESS <br />�7C;1 %`i:t/. �� � ,-�G� <br />LEGAI LOTNO. BLOCK <br />PARCLL TAX I.D. # PERMIT p <br />c'c; �70 ��;C'Xic.O k► UU !11 oh � a �51 <br />TRACT OR SUBOIVISION N <br />i i J <br />OWNER ADDRESS CITY2IP PMONE <br />Ci'�ti� N�3Y,�c-,.i jGl "7�-/.i� r�� Scc.-' l� T. �ti �c; ��i 7.�5-355-UZO�r <br />TENPNT NAME CONTACT FOR PERMIT PHONE I <br />ar��ti�.� �z,�o<< � ��� ti��� ��s ��r��1 I <br />E-MAII <br />TRACT3�R I Vl�l <br />�4Y J/Jii7 /'rmtir, d NTL• /LLI�I /S�i l��' l�� L4'r✓n/, l�ZS 775�L.��(s��% <br />f) ' <br />CONTR. LICENSE 0 �� � y 7 <br />_ �' ��.P.1_���(!I � �----- -- � <br />USE OF DUILDING H[AT SOURCE CONTRACT PRICE OF WORK <br />_ [Ieclric �_Gas _ Othm <br />WORK DESCRIPTION _ � <br />�i (/4/1C[_ ltf�in�v'C� �'"AS N4A31vtiiC-G CUIrl1 /Jl(,L' <br />hn� i%tI�'-NAC[ %N '�h-J»E' llY�-�iT1c%r�i. � <br />i PLUMBING <br />� <br />� N0. TYPE OF Fl%TUR[ OR ITEM <br />- . _ . . __ ____._ <br />Taili�t <br />f3athlub <br />i__ Lavalory (wash basin) <br />, _ _ Showcr <br />i __ _ Nilclmn sink 8 disposnl <br />II I)IS�1W85hBf <br />, Clolhes washcr <br />�i Walor hoalcr <br />� Sink (sarvieol�adinoplelc.) <br />��� Dackflow prevenlcr <br />i Urinal <br />�. Drinkii,� Fountain <br />�� Floor drain <br />� _ GreasA Irnp <br />I Rool drains <br />Othar <br />MECHANICAL <br />NO. TYPE OF Fl%TURE OR IT&M <br />-- -- - h'G �uvhanJlmyunits--� - — <br />� f=urcad air systems <br />Gas piping <br />W atcr heatr.r <br />_ , Gas firnplaco <br />Gas rango <br />Clolhes dryer <br />Rango hooA <br />. Exhausllan <br />Hoal pump <br />Unit heater <br />Boiler <br />_ Refrigeration <br />Wwdstove <br />-- Olher _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby ceritify Ihal I have read and examinoA U�is applicalion anG know �he same ti; be true and correcl. All provisions ol laws and i <br />,��rdunces yoveminy Ihis �ype ol wurk will be compGed wiUi whelher specifir.d hmein or nol The granling of a pormil does no� presume <br />t�. � i��,e authoriry lo viol:�te or c�nrnl thr. provisiun of :�ny other slal�+ or local law roi7ulaling consiruction or Ihe perlormance o1 �I <br />�� ��n,tructiun. Thal I am authori; ed hy Iho uwner ol lhis property to peAonn Ihe work for whieh application is matle and I comply wi�h Ihe '' <br />��t ib. Contrec��urs Law if327J�C1V .ind 2� T.�00 W�C. �' <br />i � <br />�l �� `�!/ � <br />S�yn�luie 1,vnc�l�iruli���n: e Aylenl / Date ,�/ I <br />i <br />