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_—I— <br /> P�RMIT APPLICATION <br /> CITY OF EVEl�ETT PERMIT SERVICES <br /> 3200 CEPAR 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 <br /> I o w cPs'�a�� �a�'D -�ti o�6Sio�o tola0 Q '�o�- <. > <br /> LEGAI LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS dTY21P PMONE <br /> �Mt�SE't" �'hQ.k Cd�oornitJ;�Ms 143o WLAS�� �'V 'L�ffR{ftC °I82�} <br /> TENANt NAME 1CONGTA'CT FOR PER1'MIT PHONE � (�eZ �I I <br /> ��U cDR� I �JIIA�1IIG'�'Y� FL�LB� ���.Ma�JiM@k�l9ouupe�luzrS. <br /> �6ATiiA �b AD151SE � �- <br /> CONTR.LICENSE p <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> �0�����y�m Electric Gas__ _Otlicr � ` �0� �— <br /> WORK DESCRIPTION <br /> �Z�xfE � �GFuwE si��C.q � � t�l.o�'�Yp �uJ&�PE t�rM2s <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet • � +� A/C—air hendling units ' <br /> Bnth�ub� . Forcedairsystems <br /> � Lavatory(wash basin) _ _ _ Gas piping <br /> Shower _ Waterheater <br /> kdchen sink 8 dispos.�l Gas lireplace <br /> Dishwashm . Gasrangc <br /> Clothes washer . _ Clolhes dryer <br /> Waler healer __ Ranc�e hood <br /> Sink (service/barimop etr. 1 _ Exl�ausl lan <br /> _ _. Backllow prevenlcr __ Heat pump <br /> Urinal ___ Unitheater <br /> _ Drinkhig Fountain ____ [ioiler <br /> Floor drain __. RClrigeration <br /> Grease Irap . . Woodslove <br /> Roaf drains ____ Other__ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I hereby cerility Uiat I have read and examined this applicalion and know thr same to be true and correct. All provisions ol laws and <br /> ordinaces goveming th�s ty,a o�work will be complied with whether specihed herein or not. The granlinp ol a permit does not presume <br /> to give aulhority�o viclate o�cancel Ihe provision of any other state cr local law regulating consiruction or the perlormance ol <br /> construction. Thnt I am aulhonzed by the owner ol this property ro perlorm the work lor which applicalion is made and I comply wilh the <br /> S� . Contractors Law 18.27 RCW and 296.200 WAC. Zpp7 <br /> W CR 23 <br /> ' nan e ol O ier onlrac�onAulhonzed Agent ate <br /> / 7 <br /> I } � <br />