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PckMIT APPLICATIUN <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 /O r� � <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT# <br /> ��7 — ��s ��tv � HSIo -o4� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS � CITY2IP PHONE ,7���_�2_ 5.� S <br /> �3 & B �Nvss� l»ENTs Z ��S� I1� S-t • 1JE TU�Auf q82�i 4iS���-IS r <br /> TENANT NAME CONTACT fOR PERMIi PHONE <br /> I BALB�R SINGN �-1Zs -Z32- 155 I <br /> CONTRACTOR ADDRESS CIfY121P PHONE <br /> CONiR.LICENSE p -7-�� <br /> � <br /> USE OF BUILDING I — NEAT SOURCE I CJNTRACT PRICE OF WORK <br /> ❑t�ctri� Gas Other <br /> WORK DESCRIPTION <br /> �rn^ / l� <br /> �`� � ,`� � ,,,<, l, <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. T1'PE OF FI%TURE OR ITEM <br /> _ Toilet A/C- air handling units <br /> _ dalhWb Forced air syslems <br /> _ Lavelory(wash basin) Gas piping <br /> Showor W aton c�a�er <br /> _ Kilchen sink 8 disposal Gas(ireplar,c <br /> _ Dishwasher Gasranc�o <br /> _ Clothes washer Clothes dryer <br /> _ Walrsr healer Rnnge I:ood <br /> _ Sink(servicolbadrnop/cic.) Exhausl fan <br /> _ Oackllow prevenler Heat pump <br /> Urinal Unil hcalor <br /> _ Urinking Fountain Boilar <br /> _ Floor draln Relrigoration <br /> _ Greaso lrap Woodslovc <br /> _ Rool dralns Olher <br /> Olhor — — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritify Ihal I havo read anA examineA Ihis application anA Y.now Iho samn lo be true and correcL All provisions of laws and <br /> ordinaces�ovcrninc�ihis lyp�of worF.will bc r,omplicd with whclher specilied herein or nol Th�granting ol a permit does nol presume <br /> lo givo authoriry to violalo nr cancol Ihe provision ol any oihr.r slate or lor,al law regulaling consiruc�ion or lhe performance of <br /> consiruclion. Thal I am authoriz�d by Iho nH�ner ol this prnpertq lo perform Ihc+work for which applicalion is made and I comply wilh Ihe <br /> Slalo Conlraclors Law 18.27 RCN' and 29G.200 WAC. <br /> ��� 16/�3 !� <br /> Signaturc of OwnedConlractoriAu�horimd A�ent ��� <br />