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r�cFiMIT APPLiCATI�DN <br /> i;i7Y OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 l � � S —J(� <br /> 425-25�-8810- FAX 425-257-8rs57-www.everettwa.org �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM l� 1��� <br /> SITFADDRESS i:��;�� K�i=''tt , . '��; i?U F, PARCELTAXI.D.p P��T� <br /> �P-�-'ri-Eia:��i-e'r- ?tilid ', 4007_039Ur-'_[30419002U353(�;) I��y' -Cn.C1 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISlON q <br /> pE�c � Sec:tion 19, Toknship 28 N, Ranqe 4 East W.M. _ <br /> � OVINER ADDRESS qTYIZIP PHONE , <br /> Commun� t;' Trensit �100 Harde:;oc {:d E.ce�.ctt [aA 98203 425-348-2312 <br /> TENANTNA1dE CONTACTFORPERMIT PHONE iiJ-398-2393 <br /> F:/i, Larry D�iubenmir� . <br /> E-MAIL <br /> CONTRACTOH AD�RESS CITY121P PHONE <br /> CONTR.LICENSEq 61C1 DGCUtil2tlts – CO�i�-raC�:��' �� T •�• �'• <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK ��� <br /> Rus Maint.enence Facility �Ir,ri�ic Gas_Olher ��L.ima�e $10 . 5t•1 <br /> WORK DESCRIPTION �JS.� ���(r ��G) "�/i�, �' �.00'� \-� Ar��) T �i-1 [�C,rc L�� �.I� <br /> ,__ aLta�hed <br /> — PLUMBING —� MECHANICAL <br /> NO. I TVPE OF FIXT7FE OR ITEM NO. TVP[OF FIXTURE QR ITEM -- <br /> Toilet ._ A�C–iir hnndlmn uails <br /> Balhlub __ Forced mr;yslems <br /> Lavatcry(wash basin) __ Ga=p�pin9 <br /> Shower _. _ Water hester <br /> = Kilchen sink 8 disposal I __ Gas firepiace <br /> Dishwasher ___ G�srange <br /> Cbthes washer ___ Clothes dryer <br /> Water heater __ Range hood <br /> Sink(servicelbar!mop�etc.) _ Exhaust lan <br /> Backllow preventer __ Heai pump <br /> Unnal _ Unit heater <br /> Drinkinc�Founlain __ Boiler <br /> Floor drain _ _ _ ReiriceraUo� <br /> i Grease Irap _ Woodsiove <br /> �I __ Rool drains - _ Other_�_ <br /> Olher_—— <br /> ,, — � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 __�`__i _ _ <br /> ����!ry cerdily thal I have read and examined Ihis applicabnn and know the same to be true and correct. All provls�ons ol laws and <br /> 'I .�r:es goveming�hi;Iype ef work will he coinplied wdh whether 5pecified heiem or noL The grar;ing of a permil dnc5 nr,i S^eswn�� <br /> � .� � . .�: authonly to violale or cancel the piovlsion ol any olher state or local law requl�b� �r.onsh �i�on nr ih� »rl .��nzi� r�t <br /> ':�cLon_That I am authorized by the owner of ihls pmperty to perform the�vo�k I�,� :h�,;�� , r ..�r�on �� ; ��� � °.�� t�*' <br /> ! Gpmrac!ors Law�7 RCW and 296.200 WAC. <br /> � <br /> .��,ti�= Js�!�,� ----- C_z3-c�: <br /> i . .,.��� ;.�:.:=u,— f,ato <br /> . . � . , . . . ' � ✓ <br /> I <br /> 3 <br />