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P�RMIT APPLICATIC�N <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADORESS �FC/-�'/�f PARCEL TN(I.D.# PERMIT/ <br /> I`�a•;} A N EI�i t> 14fFi� N,� 5a2.; /� Qj�(.�� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �) 1�DE+L �. '^IAr�•C'�A I�id} A �IEw��T Av�. �'.tEu.-rr�«� �izS-28oI�G3 <br /> TENANT NAME/J CONTACT FOR PERMIT PHONE <br /> CV�Ry IJIS7KU I E-MAIL � <br /> INC��C�7� ' fL E I <br /> �.Jf/�ScI�P �oX 7 I Z L✓lral.,,(�l���c /�✓/.�?6c� 6 S 3 ?!>b-L <br /> CONTR.LICENSE N w� S 1 S �' S rj'(�S�� 3 <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas_Other <br /> WORK DESCRIPTION <br /> {�u�z�w.c.��� F�i S�,f`ofccsr..:. S:js'��— <br /> �����1 1-�ooJ �'o��p1� Ct �al« v4� �`��r <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> Balhtub Forced air systems <br /> Lavalory(wash 6asin) _ Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 disposat _ Gas fireplace <br /> Dishwasher Gas range <br /> Cloihes washer Clothes dryer <br /> _ Water heater � Range hood <br /> Sink(servicelbadmop/etc.) Exhaust fan <br /> Backilow prevenler _ Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Re(rigerelion <br /> Grcaso lrap _ Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cerilify that I have read and ezamined this application and know the same lo be lrue and correcl. All provisions of laws and <br /> ordinaces c�ov ing this type of work�vill be complied wilh whelher specilied herein or nol.The granting of a peimil does not presume <br /> lo give a hoi y t violale cel the provision of any olher stale or local law regulaling consWclion or the performance of <br /> cons ctioi h I, i au i �d by the owner o'lhis property to peAo�^ the work(or which application is made and I comply with the <br /> St e Conir .t s La 18 CW and 296.200 WAC. <br /> �� i�- n � <br /> Si ature of r on r�clodAuthorized Agent Dale <br />