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PERMIT APPLICATIU�1 <br /> CITY OF EVERETT PERMIT SERVI(:ES <br /> 32U0 CEDAR STREET, EVERETT, WA 982Q1 (0 '�3�� <br /> 4?.5-257-8810- FAX 425-257-8857 -www.e�erettwa.org <br /> APPLICATlONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> , ��L siN �i� 3°" n o��o—oy _ <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION q <br /> f7E5C. -- - ---- -- -- <br /> �---_ <br /> �OW ER � ADDR[SS CITYZIP PNONE <br /> a � c� �-r—l�L� 236�z-����A° S �.�,1'c..�ASaa�L ----- <br /> TENANT N E —� CONTACT FOR PFRMIT PHONE <br /> E-MAIL <br /> Z`6Rfi2AZ`F6F2--___—_--_—_7+bL�5i___ __— _ —_�1`V/ZfF-'—_-h�AbA€--_ _ <br /> / ' /�i <br /> CONTR. LICENSE ll (./lNl�� / 1��� <br /> ' _-_-______ _ .__ __—__ _—__—__-- _—___ - <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> FJ�r�iic GJs Oth��r <br /> -- __-._. . _ __ _ __.. _ ___. .—_ <br /> WORK DESCRIPTION <br /> —�--- - � _._ ._ -- . . -- ��------- ---- --------�---- <br /> PLUMBING MECHANICAL <br /> NO. TVPE Of FI%TUR[OR ITEM NO. IVPE OF fIXTURE OR ITEM <br /> — ___ _ . ___—_ _.___�-___ .-- - <br /> lrnlet AIC-au handling unils <br /> -- flalhlub � Purr.�d air systems <br /> ---- L.avatury (�vash basin) _ Gas piping <br /> tihower y Wolur healor <br /> --- - Kdchen sm6 A dispos�d ��_ Gas hreplor.e <br /> Dlshwashcr _ Gas ranpc <br /> Clolhes�+�ashcr �, Clothes dryer <br /> --� Wator healcr Ranc�e hood <br /> Sink(servicelbarlmop/etc.l Exhaust lan <br /> D�ckllow prmenler _ f-leal pump <br /> Urinal Unit healer <br /> Drinkinp Pounlain _ Boiler <br /> Floor drain Relrigoralion <br /> Grease Ira{? _ Woadslove <br /> --- F2ool drains ._ Othei_ -- <br /> OUier - -.- — <br /> — <br /> .. .----.. _-------.__ . . <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I hereby cerit�ly Ihat I h�rve«�ad and eeamined�his application and know lhe same lo be true and correcl. All provisions o�laws and <br /> o�dinaces�ovr.rning U�is lype ot work�vill he complied wilh whelher spocified hercin or noL ThA granling ol a permit does no�presume <br /> �o give�idhority to wolato or cancel Il�o piovision i�l.anp oth�r slale or local Inw regulnhng conslruc�ion or ihe podnrmance ol <br /> conslruclion. Th�t I an autl•�orimd by tha owner uf P�•�s property� lo perlonn Ihe wort lor whmh applic�lion is made and I comply with tho <br /> Slate Conlra�Jors l aw ifl. 7 RCW anA 29620U\^,���:. <br /> n � ) � <br /> � Y --�� —1— I <br /> Signaluro �wnrN�'� � tra ir'Aulhorilo;l A�enl ---...- �a�e <br /> i <br /> ' ' I <br /> I I <br /> J __ . . __—"_-___ . ___.. _ . _ <br />