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PERMIT APPLICATIG�� � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEFETT, WA 98207 <br /> 425-257-8810- FAX 425-257-8857-www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRES9 5� PARCEL TAX I.D.N PERMIT t <br /> 7/ S �Oo " 7. �' S �� � / IV10(oG3-�/ ) <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE98 CITV2IP PHONE <br /> ✓�f�iLSo.i/ �i�oPs►2 ii�-1 � ��;� ; 153 ��2G� <br /> TENANTNAME I CONTACTFORPERMIT PHONE i <br /> CONTRACTOR ADDRESS CITV2IP PHONE I <br /> F]�d7L�/Lc'u/ Si, NL�r7� •�'/c .2/20 /G.9��F.� A� c.v dt/�1• 2 S 1 �//5� <br /> CONTR.LICENSE M ��D/ <br /> �'7�fa'LG S7 O �.Z O% <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��QL�,�L-l�� _Eleclric ���5_oiner '�/2 o v � <br /> WORK DESCRIPTION �/�/�fjG <br /> ��S /���� �t7►� /YL'yt/ /nb!�-'7Z j 7� GrRt ST/Hl C �—fid� <br /> �6a�C �?rfi�us'�` vErv'�.v G <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TVPE OF FiXNRE OR ITEM <br /> Toilel NC-air handling uNls , <br /> Oalhlub Forced air syslems �� <br /> Lavatory(wash basin) � Gas plping <br /> Shower Water hoater <br /> Kitchon sink 8 dlsposal Gas(ireplace <br /> Dishwasher Gasrange <br /> _ Clothes washer Clothes dryer <br /> laundry liay Range hood <br /> Sink(servlce/6admop/elc.) _ Exhaust fan <br /> BackAow prevenler _ Heat pump <br /> Urin21 Unit heater <br /> Drinking Fountain Boiler <br /> Floor draln Refrigeration <br /> Grease lrap Woodstove <br /> Roo(drains � Other {'�YT//V(s <br /> Other <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS I105 <br /> I hereby cerl�ify that I have read and ezamined lhis application anA know iye same to be true and cortecL All provislons ol laws end <br /> ordmaces qoverning this type o(work will be complied wilh whelher speci(ied herein or nol. The granting of a permit does nol presume <br /> to givc aidhority lo violale or cancel Ihe provisfon of any olher state or local law regulaling consiruction or ihe performance ol <br /> construr.tion. Tha1 I m authorized by lhe owner ol this property to perlorm Ihe work for which epplicalion is made and I comply wllh Ihe <br /> State C9nt(ctors w 18.27�CW and 296.200 WAC. <br /> ' /? /f,� <br /> �- � ='�' ����:, 2 -/- a6 <br /> Signalure o OwnedConlractor/Aulhodzed Ager.l Date <br />