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! <br /> � - ---_' <br /> 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (�1��-�j77 <br /> SITE ADDRESS PARCEL TAX I.D.fl PERMIT# <br /> � -� , , Poi ,G� <br /> L GA LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ���i��U'S r CONTACT FOR PERMIT PHON ?j(pO� q, 'OIV Z- <br /> TENANT NAME �Y�� <br /> � ` ClRS'r E-MAIL <br /> ` C NTR�TO MUP. �VM , �Y�S� \ Zu'if�J ���� M��L� S1 �L�ti£TT.w� PHl11zS)Hy� -Z�63. <br /> CONT .LICENSE# �/r7�/ <br /> �vfiPLP►� All KO � JI — <br /> USE OF BUILDING HEAT SOURCE � CONTRACT PRICE OF WORK <br /> 1 b _Eleciric __Gas_Other � <br /> nm¢rc�a � <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. E OF FIXTURE O�J N0. TYPE OF FIXTURE OR ITEM <br /> Toilet _ NC—air handling unils <br /> Bathtub __ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clothes washer _ Clc,hes dryer <br /> Water heater _ Range hood <br /> I � Sink (servicelbarlmop/elc.) = Exhausl fan <br /> Backflow preventer Heat pump <br /> Unnal Unit heater <br /> _ Drinking Fountain _ Boiler <br /> Flooi drain _ R,efriasralion <br /> � Grease lrap _ Woodslove <br /> Root drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I liereby certify that I have read and examined this applica�ion and know the same to be irue and correct. All provisions ot laws and <br /> ordinances governing this type of work will be complied wi�h whelher specified herein or not.The granting of a permil does not presume <br /> to give au�hority lo violate or cancel the provision of any o�her slate or local law regulating construction nr the performance o( <br /> conslruclion.Thal I am authorized by lhe owner of lhis property lo perform Ihe work for which application is made and I comply�vilh Ihe <br /> Slale Contractors Law 1E3.27 RC and 296.200 WAC. <br /> �� �- , r _�__ _ �. ,�-�- �� <br /> Sig a u�of Owned ontraclodAulhorized Agenl Da�e <br />