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P RMIT APPLICATIO�`N <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.# P'RMIT# <br /> �S�O rP�- l,t/ z0 - z 9 57��7 _�� <br /> LEGAL LOTNO. BLOC TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �erry ,�'���5 ��o �'��� ��, �/a. 98z <br /> TENANT NAM n CONTACT FOR PERMIT PHONE <br /> �i C'/�CZ.��d �a-uviYus�i�lor ��h2 'rc� � ��cs/iv��/,,25= 75�6 - ��•� <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING rJnQ�r HEAT SOURCE CONTRACT PRICE OF WORK <br /> ii�' <br /> �j,��7J r��— ✓ Electric _Gas_Other <br /> WORKDESC�aN • . <br /> �' � - ,��=�-�� <br /> PLUMBING MECHANICAL <br /> NO. IYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 2 Toilel A/C—air��andling unils <br /> Balhlub Forced air systems <br /> 2 `. Lavalory(wash basin) Gas piping <br /> =\Shower I Waler healer �%' <br /> _�chen sink&disposal _ s fireplar,e j <br /> Di �washer Ga range / <br /> ,Clolhes washer _ Cloth dry�F <br /> / Laundry lray Range d <br /> / Sink(service/bar/mop/elc.) _ Exh�ttst fan <br /> _ Backflow preventer _��t pump <br /> Urinal nit heater <br /> Drinking Founlain Boiler <br /> Floor drain Reirigerelion <br /> Greaso trap Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceri(ify lhal I have read and examined this application and know the same lo be true anA correct. All provisions of laws and <br /> ordinaces governing this lype of work will be complied with whelher specified herein or not.The granling of a permil does nol presume <br /> lo give aulhoriry lo violate or cancel lhe provision of any other slate or local law regulaling conslruclion or lhe periormance ofi <br /> construction.Thal I am authorized by lhe oovner of lhis propeAy to perform the work for which application is made and I comply wilh the <br /> Sta e Conlrac rs Law 18.27 RCW and 296.200 WAC. <br /> i <br /> � <br /> � <br /> 5 nalure of wn Contractor/Aul 'zed Agenl ale <br />