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rcRMIT APPLICATII�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ,125-257-8810- FAX 425-257-8857-www.everellwa.ary <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - 90 <br /> SITE ADDRESS� a PARCEL TAX I.D.# I PERMIT# <br /> bv1 r a �5 E I aeo Ota'-)439oc�.acri oc _L�.��_ I <br /> LGGAI LOT NO. 1 BLOCK TRACT <br /> DESC. �. L— 1 Zod - 0&- Da j <br /> — -- --- - — <br /> OWNER ADDRESS CITYIZIP _ PIIONE -- <br /> Ilt% ,. %lam.'a. _ o'a,,e.Iz $163.1,—611, >1Lo.� -Qv- cN 98.)oL 4.45 -3 6's -io <br /> se <br /> TENANTNAME CONTACT FOR PERMIT Q-1 4p0^- 1-11ONE <br /> ,lsOa~3.9_y9a� .`_��s --r, z _ r ,tg <br /> CONTRACTOR - ADDRESS CIIYIZIP PIIONE <br /> yry.s' <br /> CONTR. <br /> LICENSE <br /> Nlw,uLw n ��o3z • 3a-y= Aur SC t3�ti..U `t6ct�. ��3- t'1l8 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> $v r C FwM+S .U3l�w+�f1• Cleclrlc Gas�Other I l Al0 0o a <br /> WORK DC-SCRII'TION <br /> \1,�+-`• .Jwa....A:w-1tr �-l'1 $ ':�Yo/1�c- •*3�C-'t/ <br /> 3r 7 <br /> PLUMBING MECIiANICAL <br /> NO. I 1 YPi:01: FIX1URr_OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _3.. Toilet A/C-air handling units <br /> 3 Dathlub Forced air systems <br /> N- Lavatory(moil h.r:6,) �- Gas piping <br /> Shower �_ Water healor <br /> Kilc ivii sink A dispus d Gas fireplace <br /> Dishwilsber I Gas rango <br /> _}- Clotho:washm I Clothes dryur <br /> Walm heater _t_ Range hood Ol'r�a.a <br /> —1_ Sink (srnvirnlh;u/numpinle.) 6 Exhaust lan <br /> .__ Harklluw porvenlin Heat pump <br /> Urinal Unit haater <br /> Drinkinq I minlain Bailor <br /> _ Ilunr drain _ Refrigeration <br /> Gmaso hap Woodslove <br /> Hru11 drains - Other <br /> -- 011im _ -- --' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3103 <br /> I hereby cmillly that 1 have read and examined this appliralion and know the same to lie true and correct. All pwvisfnns of laws and <br /> tmham es governing this: l ypo el work will ho omplied with whether specilled horoin or not.The granting of it permit duos not presume <br /> to give,sdhorlly to vioiela on cancel the pmvislon of any other stale or local law regulating construction or thu pal lot manre of <br /> conshticlion. 1 hi it i am:n ill oriTed by the owner of this properly to perform the work for which application is nnndn sol I comply with the <br /> Slato Conlrclor s law, If1.27-RCW and 20G.200 WAC. <br /> SignaluurolOwnrn/Conlnuanr/Aul nrltrrl goal ala <br /> L <br />