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PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-�:i7-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLIGN'fIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �, � � ..-p�' <br /> SITE ADDRESS �b Ld r�J� 9���'� PARCC•L TAI(I.D.N P RMIT A <br /> 3 3 !G' �-��'.'� ����' -2 <br /> LEGA LOTNO. NLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> TENANT NAME . /L CONTACT FOR PERMIT PHONE <br /> G'G�� ��'�1�;�T %�7.L t��u.?vvt, �f=S. Z.i�- Y 31,6 <br /> ���c ��- � <br /> CONTRACTOR AODRESS CITV/ZIP PHONE <br /> Sc;CI�� �f/��1���_ Sl��`� lylil rG /�.� L�l2r�,G� -�r s�o�_K9 B� <br /> CONTR.UCENSE N sG(�,�n�N�r 9s'-�rt� ��n `"��� <br /> USE OF BUILDING HEAT SOURCE I CO TRACT PRICE OF WORK <br /> �/'��G j��/. � _Electric Gas_Olher '1 �—�� � <br /> WORK DESCRIPTIOR � " <br /> -?`�s�",�� s��uz �u�� �=�'-LtC��`��� <br /> �%.�'is j.?r � , ',c���' Gh c�'�°c. cr�,�i�.�r,-�E <br /> .IwS � � ��L� , �!� GE'�'.�t,1�G5{�G7r u l7'� <br /> P�UMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO TYPE Of FI%TURE OR ITEM <br /> Toilol A/C—alr handling unils <br /> Bathlub Farced air systems / <br /> � Lavatory(wash basin) � Gas piping ��� �j���►[2 �� <br /> Showor _ Waler heater �!,�� <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Cbthes washer Clothes dryer <br /> Waterheator Range hood <br /> Sink(servic�/bar/mop/etc.) _ ExhausUan <br /> Backflow prover�lor _ Heal pump <br /> Urinal Unil healer � <br /> Orinking Fountain Z Buller �� _S��� � L f� <br /> _ Floor drain _ kelrigeration �`�'�� <br /> Grease trap Woodstove � <br /> Root drains Olher <br /> Other — <br /> CITY OF EVERF.Ti LOCAL SALES TAX CODE IS 3705 <br /> I hereby coritify lhat 1 h�ve read and ezamined this applicalion and know the same to be Irue and correct. All provislons ol laws and <br /> ordinacos governing ihis type of work will be complied wi�h whather specified herein or nol.The granting ot a permlt does not preeume <br /> to{�ivo authority lo violate or cancel the provision ol any other state or�ocal law regulaling conslrucllon or the performance ol <br /> conslrur.lion.Thal I am authorized by the owner of Ihis property lo porform lhe work lor whlch epplicalion is made and I comply wilh lhe <br /> S�atA Conlraclor�s L "`��8,2y7 R� CW and 29fi20 WAC. � <br /> -���'-�"f �iGC"�5- .��C�'�'I�%cz;SY�L �- 1�� �� <br /> ; <br /> ignaluro o� wnedConlractorlAuthonzed Agent Date <br />