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w <br /> P�RMIT APPLICATI()�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everetiH-a.org <br /> APPLICA710NS ARE ACCEPTED FROM B AM TO 4 PM �01 ��(��� <br /> SITE ADDRESS � PARCEL�AX I.D.k /� �i P�M�T M��^� <br /> s� � sod�a �o w�=�� <br /> L.L <br /> LEGAL L T NO. BLOCK TRACT OR SUBDIVISION N \ <br /> UESC. �—(�ll�°�� I 1?�t' <br /> OWNER ADDRESS C:ITYII.Id PHONE <br /> �!'�� ,�t/���—�� A���.��r"� dN-21'� l�[S <br /> 7ENANTNAME I CONTACTFORPERMIT PHONE <br /> E�MNL <br /> � <br /> f�-t�/�Fa�1 La r�li oZl�I �►'1��`" #� �en*� 4?��'�4/S` <br /> CONTR.LICENSE M <br /> �6�kbc9ri��$R <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> S�� _Elecldc _Gas_Other �II�� `S <br /> WORK DESCRIPTION <br /> ��-��C,1 fK C��K /lRn•�GI �f-�K 11�. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilcl ___ A/C-au hanAling unils <br /> Oalhlub _ Forcod ali systoms <br /> Lavalory(wash basln) _ Gas piping <br /> Showar _ Walcrheator <br /> Kitchon sink 8 Jispos;J _ Gas fireplace <br /> Dishwashor _ Gas iange <br /> Clolhes washer _ Clolhos dryer � <br /> W�ler hoater _ Rango hood <br /> Sink(sorvico/badmop/etc.) _ Exhausl lan <br /> �ackflow proventer _ Heat pump <br /> Urinal __ Unil heater <br /> Drinking Fodntain _ Bollot <br /> Floor drain _ Retrigerallon <br /> Groasa trap _ Woadslove <br /> Rool drains _ Olher <br /> Othor _ — <br /> CITY OF EVEREiT LOCAL SALES TAX CODE IS 7705 <br /> I hereby ceriti(y Ihat I havu road and examinod Ihis applicalion and know the same to be lrue and cortecl. All provlsions of laws and <br /> ordinacos goveming this lypc of work will bo compliod with whether specifiad horain or not.The granling ol a permil does nol presume <br /> lo givc aulhority to violate or canccl Iha provision of any olher s(ale or local law rec�ulaling eonslruclion or ihe podormanee of <br /> conslruclion. Thal I am au0iorizod by Iho ownor this property lo perlorm lhu work(or which applicaUon is made and I comply wilh lhe <br /> Sla�o ConUaclors Law 1 U.27 RCW anA 2�JG.20 AC. <br /> SignaWro of OwnedContractodA ortzodA n Datc✓ " � <br /> ---- Ya --� <br />