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f' '_- _" - - �.. <br /> �� PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES <br /> I� 3200 CEDAR STREET, EVERETT. WA 98201 �\r- \1 <br /> I 425-257-881U - FAX 425-257-8857 -www.everettwa.org '�'�J li <br /> F.l <br /> � AppIICAT104iS ARE ACCEPTED FROM 8 AM TO 4 PM ���f� �)�f <br /> PARCEL TAX I.D.t PE IT• -�- - <br /> �I arreeoonEgsCIQ1^ �`i�. � Z�I CDD 0 D� <br /> ff <br /> ioEsc. � l�-�� Truc��rKSIG�C-� L�LI S{" �e <br /> ew <br /> �, I`tE•I ► ur `. ,C11c1r �r'S R � lcic'r `�'� �v-1' �-I25 �31�y1`I3 <br /> TEMANTNAME COMTALTFORVERY�T PXONE <br /> �' � lc� � ic � MctiOrs ( �1 �� KI�� �r ► y•L5 �31-�-1193 <br /> ca�tiucTae �ooness qn2w w�oNe <br /> � ! �c� �� �� K Cv► � � �ec t, a � II�H/J S�-In�Sf7U� 1�, �-/25 531—y1`]3 <br /> cONT11.lICE1qE r ,'� �/�/7\ (/� S'/C I/f j�S <br /> ►�EcKCc' � �I52t�►1 � <br /> U!E OF oU1L01NG I T SOURCE I CONTRACT PRICE OF WORK <br /> ! /��. / <br /> ' {� OI-I�. I _Ehctr�c Gas_Other J-�V V S��LO <br /> WORK DESCitlYTiON <br /> c�t'c�C 12c'�l . /1XZZ <br /> PLUMBING MECHANICAL <br /> pp, TYpE OF fqRURE OR REM HO. TYPE Of FU(TURE OR REM <br /> Toilet _ A/C-air handling units <br /> BatMub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> I _ Hitchen sink E disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Cbthes washer _ Clothes dryer <br /> Water heater _ Range hood <br /> � Sink(service/bar/mopletc.) � _ Exhaust fan <br /> � Backflow preventer _ Heat pump <br /> I Urinal � . ._ Unitheater <br /> � Boiler <br /> � _ Drinking FounWin — Refrigeration <br /> _ Floordrain Woodstove <br /> _ Grease Vap Other <br /> Roof drains — -- <br /> Other — <br /> I --I --- — — — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � I hereby ceritify lhat I have read and examined this application and know the same to be true and correct. Afl provis'�ns of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or noL The granting �� a permit does not presume <br /> to give authonty to violale or cancel the provision of any other state or local law reyulating construction or the performance of <br /> construction.That I am authonzed by the owner of lhis property to perform the work for which application is made and I comply wiih the <br /> gtafqCpc�M�ctor a 1827 RCNI and 296200 WAC. t <br /> C !'V/ � �Q JI �� U10 <br /> � 7'f � � -- � � <br /> � Si re of OwnedContractor.'Authorized Agont Da�e I <br /> L <br /> L---- -- _---—-------- — <br />