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�CRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-a857—www.everettwa.org <br /> l� � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � .- a��.p6 <br /> SITE ADDRESS PARCEL TAX I.D.# PER/MIT/# <br /> i�-_� �_ .. - �J..: /�� � ��/` � L�t)(O - S�/ <br /> LEGAL LOTNO. BLOCK TRACT <br /> OESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> 1 S��cu.+ [ � / <br /> iJ�/��e C v c%.v,y� oc.ea��c c� o PF'. r=) ( Y�?s�.j/8' G�1 �9' <br /> TENANTNAME CONTACTFO ,PERMIT PHONE <br /> �i, i<< <��i�, �.,�,. I ��,�/ ��,5 *u � v-��—�>� ���cQ <br /> CONTRACTOR � ADDRESS CITY2IP PHONE <br /> P,fc'� Lv �sf-�ii' f� ;� �3u;< s�3 ��o�.,y(ud4 ��rG7d 3�i <br /> CONTR.LICENSE p �� � „ y S!v y/ %t/✓ri�� � <br /> dL L t��7 o�S�P,a- 9vi8 F <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> G�'/�/Zc��� /y0�'J t� _Eleclric �Gas_Othor 'yv �� U� <br /> WORK DESCRIPTION <br /> i hs fz,�l ,,7,� � /1� f-,J� .�, f- `e� S"r f�c/yl �n�" Gt/,�/�c . .v <br /> / <br /> �, / � � /, �� ti <br /> oLC/ <� l��ncl,�•�c.vs-� � t'vn�i.< fv.� 7�U •l" /i70 � r= s �yoc <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF fU(TURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Balhlub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes�vasher Clothes dryer <br /> Waler healer Range hood <br /> Sink (sen�ice/bar/mop/elc.) Exhausl fan <br /> Backllow preveNer Heat pump <br /> Urinal Unil healer <br /> _ Drinkiny Founlain Boiler <br /> _ Floor drain � Refrigeration <br /> Grease Irap Woods�ove <br /> Roaf drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby cerili(y ihal I have read and examined lhis applicalion and know the same to be true and correct. All provisions o(laws and <br /> ordinaces c�overninc� this type of work will be complied wilh whelher speci(ied herein or nol.The granting of a pertni!does not presume <br /> to give aulhorily to violate or cancel lhe provision of any olher slale or Iocal law regulating consWclion or lhe performance o( <br /> construcUon.Thal I am authorized by ihe o�mer o(this property to per(orm Ihe work for which application is made and I comply wilh the <br /> Slate Contraclo[s� aV✓ 1 . 7 RCW and 29G.200 WAC. <br /> / . �/ , <br /> 1=t%ia -C��1 � � C� <br /> Sig a fe o(Ownet onUactodAuthorized Ac�ent ' Date <br />