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PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982U1 <br /> 425-257-8810—FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��p_ j�— D'�7 <br /> SITE ADDRESS PARCEL TAX I.D.N P�M.ST j(�_A „ � <br /> 2°1�� G�1�i� f�cV�• 0043°I I b82o2800 0043916E2o �� �C / `f�/ <br /> LEGA lOTNO. BLOCK TRACT <br /> oesa 2g 29, 30 65�ti—OD <br /> OWNER ADDRESS CITYRIP PHONE <br /> tiun�roAn�tiy Go.Go�sr �.M��rTw+sT -po.�ox �3 ��N��v <br /> TENANT NAME CONTACT fOR PERMIT PHONE <br /> �T'� P�P�-�rf�u�rn�rt5l ������� fzb�-zs2 -��3 <br /> CONTMCTOR ADDRESS CITYlZJP PHONE <br /> CONTR.UCENSE R �C) '�� �l r F-�`��I�� ✓ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> r��r�i I �Eledric _Gas_Olher ��� O� � <br /> WORK DESCRIPTION <br /> l�l�la� �►�top�- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR REM <br /> Toilel A/C-air handling units <br /> BalMub Forced eir systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Cbthes dryer <br /> Laundry tray � Range hood <br /> Sink(service/bar/mop/etc.) Ezhaust lan <br /> Backllow preventer Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Root drains Other <br /> Other <br /> CITY OF EVERETT LpCAL SALES TAX CODE IS J105 <br /> I hereby ceritify that I have read and examined this applicalion and know the same to be true and corred. All provisions ol laws and <br /> ordinaces governing this type of work will be complied wilh whether specified herein or not The grenting of a permit does not presume <br /> fo give authority lo vin�ale or cancel the provision of eny other state or local law regulating constudion or the pedormance of <br /> conslruction. Th wth ized owner of this property to pertarm the work lor which applicalion is made and I comply with the <br /> Slate Contra rs Law 8.2 and 96.200 WAC. <br /> •D <br /> Sig f nedCo traclodAuthorized Agent Dale <br /> /� <br />