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� <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 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> ��rd.� F.�1�S (et�n � ,b�v0 a-D�� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ��A T N� G� �� ��O ONTA rFOR PERMIT`/ �`�r� . 36 HONE "—l3'ZS <br /> ���+��(``C � <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> LMeY-esSi����l- �c��-J�S�•..v, `�-Co8 E(..�.� �i`� Sos�'� (,U�,,,.,�T1/2!-�u.-+L 3 �U-�(2�l-t3Z5 <br /> CONTR.LICENSE# M�Y�5��v3�Q � �� <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> / K��� <br /> �c� ��.� Eleclric Gas Other b, <br /> W�DESCRIPTION ��/uC� � � gl S(��`` <br /> �' � �� � u•,�-t J <br /> .-�- R���f-e P�f� 5� �L� <br /> PLUMBlNG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler healer <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water healer Ranc�e hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> _ BackOow prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinkinc�Fountain Boiler <br /> Floor drain Retrigeralion <br /> Grease Vap _ Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOGAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhal I have read and examined this applicalion and know lhe same to be Irue and correct. All provisions of laws and <br /> ordinaces governing lhis lype of work will be complied with whether speci(ied herein or not.The granting of a permil does nol presume <br /> lo give aulhorily to violate or cancel the provision of any other slale or local law regulaling construction or the perforinance of <br /> construction.That I am aufhorized by Ihe owner of this property lo perform the work for which application is made anc;I comply with the <br /> Slate Contraclors Law 18.27 RCW and 296.200 WAC. <br /> `��`�„(,t �2- I S- <br /> Signature of OwnedC iractodAuthorized Agenl Dale 1 v <br />