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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STAEET, EVERETT,WA 98201 <br /> 425-257•8810— FAX 425•257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEi TAX I.D.p PERMIT <br /> 14 W CPS�a�o ���p - i 9 ocYb65'1 D lol Q '�0�� ��� <br /> LEGAt LOT N0. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADORESS CITVQIP PHONE <br /> �qN�f1-SE^1" {�i�Q_.k Cd�OoMitJ�JMS 1430 V11LP51►� � 'L��ti r °I82o�} <br /> TENANT NAME 1CONTACT FOR PERMIT PHONE � (�62 �6211 <br /> �� C�� ( JIM�WG�'Y�' �1�DUfJ" �� ' "E-MAILJIM��dG1�4{�Q�1. <br /> ca�msAi .�D � <br /> CONTR. LICENSE p <br /> USE OF BUILDING — HEAT SOURCE I CO��TRACT PRICE OF WORK <br /> - - °` 2�50 � <br /> CO�������m Electric Gas Olher � �— <br /> WORK DESCRIPTION <br /> �Z�►cxf6 � Z�P.A�E Sl�� � � P.�1.P�� L=�1J�FE R�'t�A�2$ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilef � • � • • ' �• � . � ___ a'C='tir handling units . <br /> Oalhlub � � _._ Forced air systmn, <br /> _� Lavalory (wash basin� . _. Gas piping <br /> Shower __ Waterheater <br /> _ Kitchen sink 8 disposal __ _ Gas lireplace <br /> Dishw�shcr ___ Gasrangc <br /> Clalhes washcr . . Clo�hes dryer <br /> Waler heater _. Range hood <br /> _ Sink(service'bm.mop etc 1 . . Exhaust lan <br /> .._ Backllow prevm�te� __ Heal pump <br /> Urinal .__ Uni� healer <br /> ___ Drinking Founta�n ____ Boiler <br /> Floor drain ____ Nefrigcra�ion <br /> .....-� Grcasc trap _ Woodstove <br /> Rool drains Other___._ <br /> __ - - - - <br /> Othcr <br /> CITY OF EVEAETT LOCAL SALES TAX COOE IS 9105 <br /> I hereby centify Ihat I have read and examined this application and know U�e same lo be Irue and correcL All provisions of laws and <br /> ordinaces goveming this type ol work will be complied with whether specilied herein or not.The granting ol a permil does not presume <br /> to give authonty lo violate or cancel the provision of any olher state or local law regulating construction or tho perlormance of <br /> construction. That I am authonzed by Ihe owner ol Ihis property to perform Uie work for which application is made and I comply with the <br /> SI Conlractors Law 1827 RCW and 296200 WAC. �jp'T <br /> l� [� 23 —� <br /> nah e ol 0 ieu ontractor,Authonzed Agent ate � ' <br /> 1 <br /> , _ - __ . -- - - ----------- — <br />