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ERMIT APP�.iCATION � � <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 /> i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ` ���D > <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT M <br /> 18� � c, .e l�C �a�l i6�0[7Yc�z �', ;���' — „ <br /> LEGA LOTNO. BLOCK TRACT � <br /> DESC. ' <br /> OWNER ADDRESS CITY2IP PF10NE y2s <br /> Go�s f' Qeti� �s � {r_ Y:.L.2 2v�ker a� _ Gve�elt u��� q8.m/ 317 •3l3R <br /> TENANT NAME CONTAC��O-R, `PEqy�IT `X 1 �` ' PHONE � <br /> /� / l� ,�'`/-'v,y--- -1 —� . <br /> CO�.S r KFtif �.'S �ZCic -- k i,M (7f/�1 � U�J- 77l•-8S'.3s� <br /> CONTRACTOR ADDRESS C1TY21P PHOR� ' <br /> l3errY Ne�,,� S,'g,t Sys/e�t5 ��Cb (fnr�•�F.,�a /t,J ,,�� `�'2'S" <br /> CON�t LICENSE# E �� ]7G-88�S <br /> Iszrry �,�LC� 17G.H `l��3 <br /> USE OF BUILDING HEAT SOURCF. I COA'7RACT PRICE OF WORK <br /> R,r�t f C����-� 5'�.�����„� ��loclric _Gas_Othar � 3� �8(�� � <br /> WORKDESCRIPTION y�S fu �� 17o✓Vl�. J'•i�e •$ �t�n U�� Ga�ntt OF $;,�� (�� ' <br /> '�Jr ', <br /> Gcn�PG�� �"7 � p(� ',� �(�� vR, , � k> � ! <br /> PLUMBING �� ��� MECH I AL — <br /> NO. TYPE OF FIXTURE OR ITEM N0. � TYPE OF FIXTURE OR ITEM <br /> _ Tollel A/C—air handling units <br /> Bathtub Forced air syslems <br /> _ Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> _ Kilchen sink 8 disposal Gas firepleco <br /> _ Dishwasher Gasrange <br /> _ Clothes washer Clolhos dryer <br /> _ Water hoaler Range hood { <br /> _ Sink(sorvlr,o/6ar/moprelc.) Exhaust fan � � <br /> _ Backflow preventor _ Hoal pump j <br /> _ Urinal Unil heater I <br /> Drinking Fountaln � Boilor <br /> Floor drain R.9frigeretion � <br /> Grease lrap Woodslove � <br /> _ Roo(dralns — Other I <br /> O'ner — <br /> — _ i <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3705 � <br /> t hareby ceritity Ihal I I,ave read and oxamined this application and kno,v the same lo be lrue and cortecl. All provlsions of laws apd <br /> ordinacos governing this typo ol work will bo compliod with wholhor spocifiad horoin or nol.The granling ol a permit does not preaLme � <br /> to give aYthoriry lo violale or cancel the provislon of any�Ihor state or locat law rogulaling construction or lhe performance o( i � <br /> conslruc ion. Thal I ain authorizod by lho owner of th:s property lo per(orm Ihe work tor which appllcaUon is made and I comply wi'h lhe� <br /> Sta�o ntracto w 18.2 RCW and 296200 WAC. /� I <br /> Sig o ne ' o ractorlAulhorized Agem / e�e • <br /> �'`' <br />