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PEr2MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �{ �'a'�� <br /> SITE ADDRESS PARCEL TAl(I.D.N PER T N <br /> �j c�� (v 2oc '1Zo8Oo �, o � ' 3l� <br /> LEGA l0T N0. BLOCK TRACT OR SUBDM810N• <br /> DESC. <br /> NER ADDRESS CITY2IP PHONE <br /> l�lllhqc 8��4 �wnc.. MpA S1n £. cRoy W�. �k�lt�- 9san3 _ <br /> TENAN AME CONTACTFORPERMIT PH�E 4ZS'S��'I�3L <br /> I � P�nnca e�+a� Ke.l GSo.k10 B���A� <br /> �aan � co� <br /> uk�snet.� ErrtRao2.`�S �gpfo rv1PH'wt u►c�J pRao� �E s�y5 -73-.�- � <br /> CONiR.LICENSE M . <br /> wasr��s02?c.F W41�t..SViI�. �271 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Q�jl��.lT'()}{. _Electric _Gas___Olher 4��•� <br /> WORK DESCRIPTION , � <br /> �� ��-►,o,�wL,;,,9 pt�,�v�j � gip,v;t� Re,aAy,K.'QepIA� N+C�Jr ArTi. �CIbJi� un�rS <br /> C� 4K� '3� M� M•�rr7C M/MAL. F�M�.L► "`I„�lKS <br /> / <br /> PLUMBING MECHANICAL <br /> NO. TYI'E OF FI%TURE OR ITEM NO. TYF'E OF FI%TURE OR fTEM <br /> Tollel AIC-air handling unils <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water haeter <br /> _ Kitchen ei�k 8 disposal _ Gas fireplace / <br /> Dishwasher Ges renge <br /> Cbthes wnsher Clolhes dryer <br /> Water heater Range hood <br /> Sink(service/barlmop/etc.) _ Exhausl lan <br /> Backflow prevonler _ Heal pump <br /> Urinai _ UnH heater <br /> Ddnking Fountaln . Boller <br /> Floor draln Re(rigerallon <br /> Grease trap Woodstova <br /> Roo(dral�s Olher <br /> Olher <br /> CITY OF EVERETT LOCILL SALES TAX CODE 18�105 <br /> I hereby ceritity thal I have read and examined this appllcatlon end know the same lo be Irue and cortecl. All provislons of laws and <br /> ordinaces goveming this type ol work will be complied wilh whether speci�ed herein or not.The granting of a permit does nol presume <br /> to givo aulhorily to violate or cancet the provislon of any othor slate or local law regulaling conslruction or Ihe poAormance of <br /> construclion. Thet 1 am auUwrizod by lbe ownor of this proporty to portorm Ihe work for which applicatlon is mede and I c;omply wilh Ihe <br /> Slato Conlrar,lors Law 1U.27 RCW �nd 296200 W�C. <br /> SlgneWro ol OwnedConUactodAulhodzed Agenl Date <br /> C/ <br /> � <br />