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r-- --- - <br /> PtRIVIIT APPLICATIC,N <br /> C(TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERFTT, �VA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D. # PERMI�# <br /> "'Lf� _ QAYls� !�✓� ,�57��'l-�:J <br /> LEGAI. LOT NO. BLOCK TRACT OR SUBDIVISiON N <br /> DESC. <br /> OW ER ADDRESS CITY/ZIP PHONE <br /> ���,� Pj�-1 kn%i Z 2.l � gA� ✓E �di� �h y1r15��S� <br /> TENANT NAIAE CONTACT FOR PERMI'f PHONE <br /> E-MAIL <br /> I �dATRA4T� --�RESS / PH <br /> CONTR.LICENSE# ��� �G r S .C�'Y� ,(�g ��Q '�/ <br /> L <br /> US[ OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> i <br /> Eleclric Gas Olher <br /> -----__.___- -----------_—__-- <br /> WORK DESCRIPTION � <br /> �/yQtoL p V�� Qt.�r� fjc%�S=rnG /,.q��2 Oh (tj wt P I <br /> PLUMBING MECHAN�CAL <br /> NO. I TYPE OF FIXTURE OR IT[M NO. TYPt OF FIXTURE OR ITEM <br /> _. Toitcl � � A!C—air handling urits <br /> __ Bathtub Forced air sys�ems <br /> __ Lavalory(wash h�sin) Gas p�ping <br /> Shower W aler hoaler <br /> __. Kilchon sir':8 disposal Gas fireplace <br /> Dishwasher Gas ranao <br /> Clolhes washcr Clolhes dryer <br /> Water hoatnr Rango hood <br /> Sink (service/badmop!elc.) Exhaus�lan <br /> �ack0ow prevcnler Heat pump <br /> Urinal Unit healer <br /> Drinkinp founlain Boiler <br /> Floor drain Refrigeratio� <br /> GraFlse Irap Woodslove <br /> Roo(drains Olher <br /> Olhcr <br /> CITY OF EVENETT LOCAL SALES TAX CODE IS 7105 <br /> I horeby cerilily Ihat I have read and examined Ihis applicalion and know Ihe same to be true and wrrecL All provisions ol laws and <br /> ordinaces goveminc�ihis ly�,e of work•vill be cornplieA with whether specilied herein or not. Tho granting o(2 permil does not presume <br /> lo yivr. aulhority�o violate or cancd Ihe provision of any olher slate or local law regulating consWction or tho pedormance of I <br /> consir lion:Th 11 am authorized by tlie owner ul this property to pnAorm lhe work for which applicalion is mado and i comply wilh the <br /> State C ntracfur�L 1A.27 RCW ana 2�J6.100 W�C.__ <br /> I �'� f __ �l`6I0 � <br /> Signalure OwnerlConlraclodAuthorirod Agen� Da�e � <br /> - _ _ - - - -- _--- -- - -- ------- ------J <br />