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PERMIT 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 /> � .-, - <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM //� � �( / /� � <br /> �-� <br /> SITE ADDRESS PARCEL TAX I.D.N PER iT N <br /> �b 1+�. CA5M1U P_on.0 2a0 (Zo0 Su � M � � ��1�� �1��� <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION t <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> MUw�tEt� sc�+�xx ��-r '`tc °I4�I �Mt7orJD¢�VF. F�e2efT `1KZab QLS- `f�- Itzz <br /> TENANT NAME CONTACT FOR PERMIT PNONE �S" ���r Si�T— <br /> �JI Y-CHn.J <br /> r_�e� �.��:�,., � E.Ma�c�Av��oE�w�n���? <br /> CONTR.LICENSE N <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> 4 x <br /> ���{Z,+`� Electric �Gas_Olher �j77��) '� <br /> WORK DESCRIPTION <br /> DC�1.�Uti.,.� i�c � wv -�t�LLa�_t��U.S w-�� rJe�,-� c�,r�5��2�a c�:� nc s s-te2Atoc e���iy. �-.uCL <br /> �+1t�� i�.�uw�c i, r��i�y �c.�.J�crw.�S , rJ�w l.wr-4�x..��'r.�b r..:o H�:�iHq�, yi+L Pn�r,i4 . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlI(TUHE OR ITEM NO. TYPE OF FI%TUNE OR ITEM � <br /> Toilet ___ A�C-air handling units <br /> BatMub .__ Forcod air syslems <br /> Lavatory�wash basin) _._ Ges piping <br /> Shower _.. _ Water hoater <br /> Kilchen sink 8 disposal _ __ Gas lireplace <br /> Dishwasher _ ___ Gas�ange <br /> I--�� Clothes dryer <br /> Clothes washer -- � <br /> `�_ Water heater (WS*� ���� 1 ____ Range hood <br /> Sink(serviceibavmop�etc.l Ezhaust lan <br /> BACkilow�n�cr Heal pump <br /> Urinal _`� _ Uni�hoaler <br /> Drinking Foun in _ _ Boiler <br /> - � Floor drain _,_ _ Relrigera�lon <br /> Giease Irap _ Woodslove <br /> _ Raoldrnins ...__ Other_____ __.—_. <br /> _j_ Olher �,�1��v:341�St --- ------ -- <br /> CITY OF EVERETT LOCAI.SALES TAX CODE IS 3105 � <br /> I hereby cerility Ihat 1 nave read and examined Ihis apphcation and know the same to be Irue and correcl. All provisions o1 lews and <br /> ordinaces gnveming Ihis type ol work will be complied with whelher specilied herein oi not. The granting ol a permit does not presume <br /> to give authoriry to violate a cancel the p�ovision ol any other state or local law regulating conslruclion or the pe�formance ol <br /> consiruction That I am authoriaed by the owner ol ihis pioperty lo perlorm the wak br which application is made and I comply with the <br /> Stote Conlr�clors LnW 1827 RCW and 296.200 WAC. <br /> � � � ls . Z�) LCv��I <br /> Signature ol OwneriCor,iraclon ulhonzed genl ate �/� <br />