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�— F �RMIT APPLICATIt�N <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> A?PLICATIONS ARE ACCEPTED FROM 8 A�d TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARC[L TAX I.D.# I ��R� / /. <br /> �4�( � `'A� � Q �DIG� �!� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> �d�� � �� �� w��g�i 4aS��o <a <br /> TEN TNAME I CONTACTFORPERMIT PHONE <br /> I `b 'N'rl�/�v� <br /> CONT ACTO ADDRESS CITY2IP PHONE <br /> �l '�'Cr3YP • P•� •�eic ��S •�"V((�`�� �az� - <br /> CONTR.LI NSE# <br /> �Ir�i!�"rNL���� <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Other i��� <br /> WORK DE5CRIPTION <br /> � I . <br /> PLUMBING MECHAh9CAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling unils <br /> Ciathlub Farced air systems <br /> T— 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 Ranc�e hood <br /> Sink(service/badmop/etcJ Exhaust fan <br /> Backflow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinkin� Founlain Boiler <br /> Floor drain Re(rigeration <br /> Grease trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> _I — — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify Ihat I have read and examined this application and know lhe same to be true and correcl. All provisions of laws and <br /> ordinaces governing this lype of work will be complied wilh whelher specified herein or not.The granting of a permit does not presume <br /> to give authoriry to violate or cancel lhe provision of any other stale or local law regulating construction ur the performance of <br /> con�truction.Tha�. am authorized by the owner of this propeAy to perform lhe work for which applicat�on is made and I comply with the <br /> Si�;e Cpnt ,t L 8.27 RCW and 296.200 WAC. <br /> \ ' <br /> b- -�5 . <br /> SignaWre ontractodAuthorizedAgent Uate I �� <br />