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c�_ab-07 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425.257-8810 — FAX 425-257-8857 — www everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. N <br />PERMIT 0 <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC <br />OWNER ADDRESS CITYIZIP PHONE <br />p <br />Tf <br />q� <br />p��C <br />PHONE <br />F�PER A l ✓v�1 ��3� / R <br />�1 <br />CONTRACTOR t , ADDRESS CITY2IP PHONE <br />[,/,r�i✓evvo 'Icry.3,"7r011 TO 6/f' <br />CONTR. LICENSECONTR. LICENSE /����a <br />OF BUILDING <br />HEAT SOURCE <br />C NTRACT PRICE OF WORK <br />/ <br />C — lcyrw e GtO�_ <br />�USE <br />Electric I�Gas _Other <br />�0 <br />,� <br />WORKDESCRIPTION rye_C-4"I'uwl - /0 97�// r/) PnC45 -a �L;"C4,� <br />2J/C��Gc�twL�l 3 �✓/!/P.Hf '� 44&/ Ou7 <br />ns . C C1a r7 <o✓`k, ri//es a/ <br />, <br />PLUMBINGMECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO, TYPE OF FIXTURE OR ITEM <br />Toilet <br />All: - air handling units <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />_ <br />Shower <br />Water heater <br />_ <br />Kitchen sink 8 disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />_ <br />7othes washer <br />Clothes dryer <br />Laundry tray <br />Sink (servicebar/mop/etc.) <br />: <br />Range hood <br />Exhaust fan <br />_ <br />Backflow preventer <br />_ <br />Heat pump <br />_ <br />Urinal <br />_ <br />Unit heater <br />Drinking Fountain <br />_ <br />Boiler <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />_ <br />Woodstove <br />_ <br />Roof drains <br />_ <br />Other <br />_ <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hereby ceritdy that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The grantinp of a permit does not presume <br />to g-ve authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of <br />construction Thfit uthorized by the owner of this property to perform the work for which application is made and I comply with the <br />State C ors Lew S Z7 RCW ar 296 200 WAC. <br />Sig er ontractorl uthorized Agent ate <br />