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�— <br /> P�RMIT APPLICp►TIOrI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA P '" <br /> 425-257-8810— FAX 425-257-8857—www.ev �.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 1 �d �i f'I �'� ��(� <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT,11� � <br /> /S03 PAuHc �4vF • 00l� S/�80/200 %�j -/(j <br /> LEGAL LO?N0. BLOCK TRACT OR SUBDIVISION N <br /> �ESC. <br /> OWNER ADDRESS CITYIZIP PHONE y�VS•�5-1 . (��{y(� <br /> Co�»�rtuN i'r`( ff�A-�TNut�E iooi N. 3rzor+�,,,ay su��es c-✓E��tr, wA 162v�1 <br /> TEy9N�,�I� n n CONTACT FOR PERMIT PHOHE ZQ(0 0�30 S�f�'� <br /> �G(/�tlL (��_�D �r vu�o�.► n ��y <br /> `"�OS� �.1.11�( E•MAIL �1ZUFlT Q(.�Bll�l �T'�^�• <br /> /,�Qp�l'( PL,UM31/.1Lt CO. A .I[,OM <br /> ivr� 8 Nz6�''� SE NDQTIi Zvla 93o57i�1 <br /> CONTR.LICENSE It �G�� � l�'4 I <br /> k.enzo �c 9 r NcP <�/7�// _ 9,(<%5 _ ! <br /> �, USE OF BUILDING I HEAT SOURC[ CONTRACT PRICE OF WORK I <br /> GAQ�D�T vN/0/✓ _��edrlc �C Gas_Olher 9�q O(J, D O I <br /> I WORK DESCRIPTION I <br /> II <br /> PLUMBING MEC1iANICAL <br /> NO. � TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM i <br /> � Toi:et _ A/C -air handling units ��� <br /> Balhlub Forced air systems ', <br /> �_ Lavalory (wash basin) _ Gas piping '� <br /> Shower Water heater ! <br /> � Kitchen sink 8 disposal _ Gas fireplaee ' <br /> Dishwashr,r Gas range �� <br /> I _ Clolhes washer = Clothes dryer ��, <br /> Waler healer Range hood � <br /> � Sink(service/badmop/etc.) Exhausl fan � <br /> � L3ack0ow pievenler _ Heat pump <br /> � � Urinal _ Und hea!er � <br /> Drinking Founlain _ Doiler <br /> Floor dram ._ Reingeration I <br /> Grease irap _ Woodstove <br /> Roo1 drains Other <br /> Olher <br /> _ I <br /> _ CITY OF EVERETT LOCAL SALES TAX CODE U 3705 i <br /> I hereby certify that I have iead and examined this application and know Ihe same to be true anA correcl. All provlslons of laws and <br /> ordinances goveming ihis type of work will be compGed with whelher specified herein or not. llro granting of a permit does not presume <br /> to give authority to vioi�te or cancel the provision o(any olher state or local law regul;ting construdion oi the peAormance ot <br /> corstruction. That I am authonzed by�he owner of this property to periorm the work for which application is made and I comply wilh!he <br /> State Contractors Law td27 RCW and 296200 WAC. <br /> ,y , /O� /O I, <br /> Sig ture of Owner entractodAuthorized Agent Date . <br /> � - ---- - — --- � - �- --�--. _ . . ._� _—� - - - ' <br />