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�ERMIT APPLICATIUN <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.N PERMIT M <br /> � '� l.<�1 .� �.�-c'l� �� U�j 11-CJG� <br /> LEGA LOT NO. BLOCK TRACT OR 9UBDIVISION N <br /> DESC. � <br /> OWNER ADORESS ��IY������ PH�N� <br /> s-1��G " � /�.��%.� �' i� /� <br /> �'�//!� c��., l�/lnr� y T�r�r i ll <br /> TENANTNAME CONTACTFORPERMIT P ONE <br /> �%f,�.x/ /��;��T � ��/j'//�,,',/„� a�-- �so -�8�'a- <br /> e�a� <br /> �yd�Tln') //ic✓i�S /.�.�K7 F %f/�UL/UCl c�� /,/riJYYI Cvcr��" ..7XY.� •�bc.r '`7o�.�i-YJV 9�-- <br /> CONTR.LiCENSE M <br /> �'l�l'�/��EFf�T�'�T�F «7/i y/o7oi0 <br /> USE OF BUILDING I � — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eloclric ✓Gas_Other <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilol A/C-air handling units <br /> Bathtub Forcod air systems <br /> Lavatory(wash basin) g Gas piping <br /> Showor Waler heator <br /> Kitchon sink 8 disposal Gas firoplace <br /> Dishwashor Gas rango <br /> Clothes washoi Clothes dryor <br /> Waler heater Rango hood <br /> Sink(service/bar/mop/otc.) _ Exhausl lan <br /> Backllow praventer Heat pump <br /> Urinal Unil heatar <br /> Drinking Fountain _ Boiler <br /> Floor drain ReGigeralion <br /> Grease trap _ Woodstove <br /> Rool drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES T4X COOE IS 3105 <br /> I hereby cerilily Ihal I havo read and examined this application and know the same lo be Irue and correct. All provislons of laws and <br /> ordinaces govorning this typo ol work will bo complied wilh whether spoclfia�i herein or not.The granting of a permil does not presumo <br /> to givo aulhoriry to violale or cancoi the provision o(any other state or local law rogulating wnstruclion or the peAormance o( <br /> construction. That I am authorized by lhe owner of this propeAy lo perlorm tho vrork tor which applicallon is made and I comply with lhe <br /> Stalo CoMraclors Law 18.27 RCW and 296.200 WAC. <br /> - � I <br /> w <br /> ' n u ,e Own r/ ontraclor/Aulhoriznd A�onl Dale <br />