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, <br /> 1- cRMIT APP��C��TIvN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-25'r'-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT p <br /> ' o � , � '� <br />' LEGAL LOT NO. 9LOCK TRACT OR SUBDIVISION fl <br /> OESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> TENANT NAME CONTACT FOR PERMIT ^HONE yZ,J'y�r �� `� <br /> ' � � �� <br /> '�� � - � /� �i-��s �� �� <<Cr E-MAIL .;� �. <br /> � T�R� R A6�F; T Z P . Cc�._ <br /> CL/fi'�-/�$7StNs �ju, �✓L /7�7�� ,�rJ✓a•.� �✓il- <br /> / ''S Yy5 1G � <br /> CONTR.LICENSER �L!{-,EJS/- 5'27(�ff � <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ���.�_�L _Eleciric _Gas_Other s� <br /> WORKDESCRIPTION ,�vr�` �� .�z] r�.,� c�<' �'i-44�:�.'c��Z Lc.-'TZ7eS� � � ��jo <br /> �./S"�{Zc. ..-.vi-- ��> ,� /r�t(�/< ;�.�w�/t�.tw%— �I�a.� <br /> /�? lfXc- i.�i2?''N/lZG /1L�:4/.c./f-7't� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM . NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Balhtub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clcihes washer _ Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/elc.) _ [xhausl fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Retrigeralion <br /> Grease irap _ Woodslove <br /> Roof drains � Olher_ <br /> Other <br />, _ — <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS SiPS <br /> I hereby certify Ihat I have read and examined this application and know Ihe same lo be irue and correct. All provisions ol laws and <br /> ordinances governing this type of work will be complied�vith whelher specified herein or not.The granting of a permit does not presume <br /> to give authunly to vi�lale or cancei lhe provision of any other statr,or local law regulating consWction or the periormance of <br /> construclion.Thal I am authorized by the owner of lhis property to perlcrm ihe work for which application is made and I comply with the <br /> Slate Contractor Law 18.27 RCW and 29G.20 AC. <br /> /-�,:.�i-��—�=���— z///�o>b <br /> Signa7ure of Owne ^onlraclor/Authonzed Agenl �Date <br /> L..- � I <br /> � Y <br />