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PERMIT APPLICATION <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 /> SITF AD�D"RESS PARCEL TAX I.D.# P�RMI7# <br /> �� �C.I� �/��wr�G[-l.1/� ���� ' � <br /> LEGA LOiNO. B OCK TRACT <br /> DESC. <br /> OWNEF ADDRE55 CIN21P PHONE <br /> � /?:� UJ�L r-`Id'30/ <br /> �`�G� �3 /��L ,��� � �c« z� ��s��.sa -5�9/3 <br /> TENANT NAME CONTACT FOR P/ERMIT PHONE <br /> i /� / .�7Cw �,s�5/OS �� -2-.� / l� <br /> CONTRACTOR ADDRESS CITYIZIP � PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric Gas Other <br /> WORK DE�I�ON '� � ,�U�� L�_�-d—K. ��-t-.1�C l�Gl2lLt� <br /> „�,_tz <br /> ��� � �z ', <br /> PLUMBING MECHANICAL <br /> NO. TYrE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilel A!C—air handlinc� units <br /> _ Balhlub Forced air syslems <br /> _ Lavatory(wash b�isin) Gas piping <br /> _ Shower Waler healer <br /> Kitchen sin�3 disposal Gas fi�eplacc <br /> _ Dishwather Gas ranc�e <br /> __ Cbthes washer Clolhes dryer <br /> _I NI'ate�hCBICf Range hood <br /> _ S�nk(service/badmop/elcJ Exhaust fan <br /> _ Backtlow preventer Heal pump <br /> _ Urinal Unil he2ler <br /> _ Drinking Fountain Boiler <br /> _ Floor drain Refrigeralion <br /> _ Grease lrap �Voodstove <br /> _ Roof drains Olher <br /> Other — <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify thal I have read and examined this applicalion and know Ihe same to be We and correcl. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whelher speci(ied herein or noL The gra�linc�of a permil does not presume <br /> lo give authority to violale or cancel the provision of any other stale or local law regulating consWclion or the perfomianco of <br /> construction.That I am aulhorized by ihe owner of ihis property lo periorm t e work for which application is made and I comply with the <br /> Stal Coniradors law 18.2 CW and 296.200 WAC. <br /> i/ <br /> _�L ., �)��� .� os <br /> Signalure of ned lractor/Authorized Agent ate <br /> (1��c.G-- )'ytl�✓�.�..c.� '/a <br />