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PL:RMIT APPLICAMN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwe.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />f <br />SITE ADDRESS 83Y 807VI <br />� i (d�:n 7 , 6vet^e7f WP}. 9Bs'-o3 <br />PARCEL TAX I.D. # <br />EERM/IT If <br />a <br />I ��U(n <br />LEGAQ lOT NO. <br />DESC. <br />BLOCK <br />TRACT <br />OWNER ADDRESS <br />VINL f 4r+_Ye s <br />CITYIZIP PHONE <br />TENANT NAME <br />�5r'O.Z fPNi?RI�OHa( <br />CONTACT FOR PERMIT <br />PHONE <br />CONTRACT R (1H1..�.� _ / o rw� ..,C�'ADDRESS �px 61� CITY/ZIP PHONE p� c573 -.- <br />CONTR. LICENSE # U/VIVV'/�—j�'�/j C� /' d / fF / // 01 <br />USE OF BUILDING <br />HEAT SOURCE <br />Electric .iGas Other <br />_ <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION /Hsy41(� (/� /oR�/Cwge /oo� /p 7` �jj klu.rSf lYr <br />JJ 7�o uni � s w� <br />Vey. 1 fv roo{ �Z) wr+r f tieer {a s/ c>'uc fe.ror% �rv�15 `y- �e/�ris iSr <br />� r f /7Cv74?_-S � /eO f745p r jf. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (senice/barlmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />/ <br />�;Z <br />_ <br />_ <br />_ <br />A/C —air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />I hereby cerilify that I have read and examined this application and know the same to be true and correct. All provisions if laws and <br />ordinates goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Stale Contractors Law 18.277l RCW and 296.200,NAC, <br />