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PEkMIT APPLICATION <br /> CITY OF EVERETT PERIUIIT SERVICES <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 -wwH�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM B —a b —O�l <br /> SITE ADDRESS PARCEL TAX I.D.il PERMIT# n � <br /> .%�2� ��c� r�� !'vl o�- 3 J <br /> LEGAL LOT NO. BIOCK TRACT OR SU801VISION N <br /> UESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> 2 �Z� Oa� �t�- 11G 2�2� f�rl� �rP `����o <br /> TENANT NAME CONTACT FOR PERMIT PHONE .4CyS'_ 5'(JB-.� <br /> �',.��/�r���s-� ����Y�' <br /> E•MAIL HfiC! <br /> �N��A R �--Gt�V AD�SS I P PH N 4,Z�_r,��. <br /> S�l��.�',�(/%'f�l ��-<-¢ (r�Gt�G iCl� �c �c�� �-Ld F48<F <br /> CONTR.LICENSE# Q�z'� O <br /> s����r�s-��' <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Co�-u����¢C _E���<<�� Gas_Other � �� 2�r G� <br /> i <br /> WORK DES,CRIPTION �C <br /> �� ..Z s�� l f��cc,!� � .��u�.I st� , �� . <br /> Z"�� �rC� ������u�� � ! r���-r-u �' , <br /> �3' ��rtis �- C(�s <br /> PLUMB G MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A�C -air handling units <br /> Balhtub Forced air syslems <br /> Lavatory (wash 6asin) _ Gas piping <br /> Shower Waler healer <br /> Kitchen sinh 8 disposal _ Gas ffreplace <br /> Dishwasher Gas ranc�e <br /> Clolhes washer Cloth�s dryer <br /> Water healer Range hood <br /> Sink(service/bar/mop/elc.) _ Exhausl fan <br /> �ack(low prevenler _ Heal pump <br /> Urinal Unil healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodslovc <br /> Roof drains Other <br /> O�her <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritity that I have read and examined this application and know lhe same lo be true and correcL All provisions of laws and <br /> ordinaces governing this type o(work will be complied wilh whether specified herein or nol The granling of a permit does not presume <br /> to give authority to violale or cancel Ihe provision o(any other slate or local law regulating construction or the performance of <br /> construction. Thal I am authorized by the owner of this property to periorm the work for which application is made and I comply wilh lhe <br /> Sta onlractors L w 1827 CW and 29G.200 WAC. <br /> �t�C��/��c � G��'rt— �`"Zf'`�� <br /> Signature ✓ wnedContraclor/Autliorized Ac�ent Date <br /> i — <br />