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f ! <br /> P�RMIT APPLICATIdN <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 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT / I <br /> I o W �F��a�� �phv - 1? � od�,65�Ol0 lol 00 Q '�D�- `� �i <br /> L[GAI. LOTNO. BLOCK� TRACTORSUBDIVISION+1 <br /> nrsc <br /> OWNER ADDRESS f,'TV21P PHONE <br /> �sFr �il�.�, C�oorn�rJ,�Ms �43o wcAs►►� �v �-�f�r�tC °1$2�} <br /> T�NANT NAME CONTACT FOR PERMIT � " PNONE � (p62 �621I <br /> �fALQS?��' ¢p� I JI►��Nl:�YL �'(�JP� ' ^'.`t `^�•MAIL.�IM@�OW/1f61�(b�7f. <br /> CaATfib�U <br /> CONTR.UCENSE# <br /> USE OF BUILUING HEAT SOURCE CONTRA(.T PRICE OF WOPK <br /> �„01��1'�1��t�I'� „_Electric __Gas ____Olhcr � L' ���I ��� <br /> WORK DESCRIPTION <br /> ��E � �t�wE s�o»sc.� n.� � r���� �tJ�.oPE a�Mrzs <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUHE OR ITEM <br /> Toile� _ . . _ �A/C—air handling units ' <br /> Datht66 • _ Forced air syslems <br /> , Lavatory(wash basin� _ Gas piping <br /> Shower __ .. Watei heate� <br /> � Kitchen sink 8 disposal . Gas lireplecn <br /> Dishwasher Gas rangc <br /> Clothes washer _ Glothes dryer <br /> � Water healm __ � Rang�hood <br /> Sink(service�badnw;�ac I ___� Exhausl fan <br /> _ ,. Backflow preventer ___ _ Heat pump <br /> Urinal ___ Unilhcatei <br /> ___ Drinking Fountain _._ Boilcr <br /> �loor drain ., Relrigera�i0n <br /> __ Grcase trap Woodstove <br /> Roof drains ___ Other____ _ <br /> -- Other — -- ------. <br /> CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br /> I hereby ceritify Ihat I have read and examined ihis applicalion and know the same lo be true and correct. All provisions ul laws and <br /> ordinaces goveming ihis type ol work will be complied with whelhei specified herein or noL The granting of a permi�does not presume <br /> lo give authority to violate or cancel the provision ol any oU�ar state or local law regulaling conshuction o�Ihe performance ol <br /> conslruclion. That I am aulhorizrd by the owner of this proFarty ro pnrform the work for which application�s made and I comply with the <br /> SI Contracrors Law 1827 RCW and 296200 WAC. �'T <br /> I� Us 23 <br /> nati e of O ier� ontraclonAmhorized Agent � ale ,1 <br /> � /�'' <br /> � <br />