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�' -as� —0 6 <br /> PER�'�IIT APPLICATIG�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.ory <br /> AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.A P/EIRMIT 7{ � <br /> � � � ��S / ,Ql� __ I �/7,�/ �� <br /> LEGAL LOT��O. BLOCK TRACT <br /> DESC. <br /> OWNER � AD[1RESS CITY2IP PHONE <br /> C-�-�Au�p.'����r��,�n�z�%�r�,'���,7 �a�rrc�� <br /> TENANT NAME CONTItCT FOR PERMIT PHONE <br /> f <br /> �r2�irLJ GL�v� l2Uv� is T_ Zo�. 6�y35i�.00 <br /> CONTRACTOR ADDRESS CiTV21P PHONE <br /> CONTR.LICENSE p ����/ /� / r�Z O�� //' /J" � <br /> / C_ <br /> USE OF BUILDING HEAT SOURCE CONTI2ACT PRICE OF WORK <br /> GL�S� 6�'�/G� _Eiar.lric �Gas_Other �8 0 pc�— <br /> WORK DESCRIPTION <br /> �° OVL2 T� � S�uN/�S i J�� ViNyL %GoeZ � �L-�?^���.r �t/�? <br /> u>�q-L�. , ,���z,� �5�o,�S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilot A/C—air handling unils <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Sho�vor Wal�r hoater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Cloihes dryor <br /> Waler hoalor Ranpa hood <br /> Sink(servicolbadmop/Mc.) ExhausUa,i <br /> Backflow pre��enter Heat pum�� <br /> Urinal Unit haalei <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Groaso trap Woodslove <br /> Roof dralns Other <br /> Olher <br /> CITY OI EVERETT LOCAL SALES TAX CODE IS 9705 <br /> I hareby cnritily Ihat I havo read and ezaminod this application and know the same to be true and correct. All provisions of laws and <br /> ordinac�s governinq Ihis typo ol work will bo compliod wilh whothor spocified horein ar nol.The granting al a pormit does nol prosume <br /> to givo aul'nority to violalo or cancol Iho provision of nny olhor stato or local law repulating consWclion or the performance of <br /> construction.TJ�t I am aulhorizod by tlio ownor ollhis property to porlonn the work for which application Is made and 1 wmply with lhe <br /> St��ors La 18.27 R and 296200 WAC. <br /> � - _ - T��- � �U�Z$' '?�o G <br /> Signalure of Owner ontractor/Au orizod Agent Data <br /> �'�2 <br />