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� P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810- FAX 425•257-8857-www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT <br /> �� W CpS�al� �2nP�� " Z' oaS651 D lol Q 70�� �� <br /> LC:GAL LOT NO. BLOCK TRACT OR SUBUIVISION N <br /> DESC. <br /> OWNER ADDflESS GTV21P PHONE <br /> �oNIL'R-SE'1" �r42-k Ce�JOoMitJ��MS 143D l�LA51� �V ��T °1820'} <br /> TENANT uAME CONTACT FOR PERMIT� PHONE � I�62 +6211 <br /> �C CD�k I JI1^�WGb'V4 ��Durs' �� ""'`�•MAILJIM��J/IJ/M!4{�QX7S. <br /> '�$D � <br /> CONTR.LICtiNSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> (,G�������m Electric ___. Gas Other � ` 5�0 �— <br /> -- � 1 <br /> WORK DESCRIPTION � <br /> {z�rE ti �F�w� s�oNsc� t� � r��.o�'� �uJ�.oPE c�a�rzs <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM N0. TVPE OF FI%TURE OR ITEM <br /> Toilel' ' � ' . • , . , ,_l._ A%C-air�handling unils ' ' <br /> �athtub ___ Forced air systems <br /> - --- Lavalory (wash bashi) __ Gas piping <br /> � Shower __._ Watei heater <br /> .� Kilr.hen sink 8 disposal _ _ Gas fireplace <br /> � Dishwashcr ._. Gasrange <br /> Clothes washer Clothes dryer <br /> - Waler healer .. Rango hood <br /> Sink(service/badmop'elc I . _ Exhaus�lan <br /> �ackflow prevenler ____ Heat pump <br /> Urinal __ Unit heater <br /> ._ _ Drinking Founlain _ _ Boiler <br /> Floordra�n __ Refrigeralion <br /> . Grcasc tinp Woodslove <br /> F7ool drains _. .. O�her___ <br /> ..--� Othei . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby centily Ihal I have read and ezamined ihis application and know Ihe same to be true and correct. All provisions ol laws and <br /> ordinaces goveming this type ol work will bo complied with whelher specilied herein or noL The granting ol a permil does not presume <br /> to give aulho�ity to violate or cancel ihe provision ot any olher state or local law re9ulating conslruction or the performance of <br /> construction. Thal I am aulhorized by the owner of Ihis property lo perlorm Ihe work lor which application is made and I comply with lhe <br /> S� Conlractors' �w 1827 RCW and 296.200 WAC. �7 <br /> W [� 23 � <br /> nat e ol O ier ontractor�Authorized Agent ale � <br /> I � <br />