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' � i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98205 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITEADDRESS . �G'1.����2('�-17 �� PARCELTAXI.D.# PERMIT# <br /> iv�1 I 1�i�1-'u- 9���v-7�� - <br /> LEGAL LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER ADDRESS CINIZIP PHONE <br /> I TENANT NAME I CONTACT FOR PERMIT PHONE <br /> � �E�Fa�ma�NcE Au7o��z�JE I,Jot�,� ��-Ns�N y25 25/ /80� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> iN�ER INDVSTRICh ��y35 OLYmo�c AvEs TUKWILA 5 <br /> CONTR.LICENSE# �(//Ltq ��� �" ''/�� <br /> �'4i�VlILv6(aQP �xP �2•3l�vy u riri <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> COI'Yllh'��RCIA�— _Eledric _Gas_Other � 8 `7�y. ���� <br /> WORK DESCRIPTION <br /> //VSTltw (►) //Q ltiiDE , 5i„/� � ��O° SIL1�r?�fNO WIl/� Cj,c'APHICS <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYpE OF FIXTURE OR ITEM <br /> Toilet AIC—air handlinq units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher , Gasrange <br /> Clothes washer Clothes dryer <br /> Laundrytray _ Range hood <br /> I _ Sink(service/badmop/eta) _ Exhaust fan <br /> ; Backflow preventer Heal pump <br /> i _ Urinal Unil heater <br /> I _ Drinking Fountain _ 8oiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3106 <br /> I hereby ceritify that I have read and examined this application and knowihe same to be true and coRect. All provivions of laws and <br /> I ordinaces governing this type o�work will be complied with whether spedfied herein or not.The granting of a pertnit does not presume <br /> to give authonry to violate or cancel the provision of any other state or local law regulating construdion or the performance of <br /> construction.7hat 1 am authorized by the owner of this property to perform the work for which application is made and I comply wilh the <br /> State C racto s Law 18.27 R W and 246.20D WAC. <br /> ' � � ,� <br /> S;g �ue of OwnedConira uthonze Agent Date � <br /> 1 <br />