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i i <br /> � PERlIAIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257•8857 -wwH�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AODRESS � PARCEL TAX I.D.# FERMIT <br /> I W CPS� � �2ok� - 13 ��b65'1 D lol Q ����" � `� <br /> LFGA LOT NO. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS CITV/ZIP PNONE <br /> Sq�RSFt' �1k�.k CclJ�orn�rJ;�Ms 143r� �1CPsi� 1� �f�RCitC °1s2o�} <br /> TENAN?NAME CONTACT fOR PF.RMIT, f PHONE � IpdZ �I I <br /> Z`OATRACTbFt�'DR� I JIU1�/1�%PY�' ���C�' "'�^� - "E-M/ULJIMB�dPNAC4F�Ql7S. <br /> i <br /> '�D <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF W07K <br /> � n <br /> (,GI�tb1�1��f�m Electric ___Gas ___O�hcr ` ���� �_ <br /> — ( <br /> WORK DESCRIPTION � <br /> k�E � �t�.n�� s�o� � � r�'�o'�a�' �uJ�oP� a�Mrzs <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Toile� ' , , , . . �_ A%C-air handling units' - <br /> Bathtub � ' � Forced'air systems <br /> Lavatory(wash basin� Gas piping <br /> Shower Water healm <br /> Kitchen sink&disposal Gas Greplace <br /> Dish�vashcr . Gas range <br /> � Clothes washer _ Clolhes dryer <br /> Watcr heater _ Range hood <br /> Sink(serviceNadmop'etc.l ___ Exhaus�fan <br /> - - p�rkllow preveMer __ Heal pump <br /> Urinal _ Uni�hcaler <br /> _ - Drinking Founlain _ Boiler <br /> Floor drain Relrigeiation <br /> - - — <br /> Grease trap __ Woodslove <br /> Rool drains ___ O�her_ <br /> -- Other --- ._--..-- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritily Uiat I have read and examined Uiis applicalion and know�he same to be true and correct. All provisions ol laws and <br /> ordinaces goveining this lype of work will bo complied with whelher specilied herein or not. The granling ol a permit does nol presume <br /> to give authority lo violate or cancel the provision of any other stato or local law requlating construction or the perlormance ol <br /> construction. That I am authorized by iho owner of this property lo perform ihe work lor which application is made and I comply wilh the <br /> St Contraclors Law 18.27 RCW and 296.200 WAC. �'T , <br /> W � (R 23 <br /> nati e of O �ev ontractodAulhorized gent ate II� <br />