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_ <br /> � <br /> P�RMIT APPLICATIO�V <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 � � a3.-o5 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> /(•/ �o.,o ✓A-� XoSo - <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �/7 f <br /> ����.���,�,�� �Ja� �v�h �e� � �l�a�s�ll, w� ���tr—i7�� <br /> TENANT NAME CONTACT FOR PERMIT �ONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE il � / <br /> ��,f���G� � �ht .S ii7� <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT FRICE OF WORK <br /> � Eteclric Gas Other <br /> WORK DESCkIPTiON <br /> �l-� � � �-� � � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel A/C—airhandlingunits <br /> Bathlub Forced air systems <br /> � Lavatory(wash basin) G2s piping <br /> Shower � Waterheater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Cblhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/elc.) Exhaust fan <br /> Backllow preventer Heat pump <br /> Unnal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Greaso trap Woodslove <br /> Root drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby ceritify lhat I have read and examined lhis applicalion and know the same lo be true and correcL All provisions of laws and <br /> ordinaces goveming this lype o(work will be complied wilh whether specified herein or noL The granling of a permil does nol presume <br /> lo give aulhority to violale or cancel the provision of any olher stale or local law regulaling construction or lhe performance o( <br /> conslruclion.Thal I am authorized by the owner of Ihis property to pedorm lhe work(onvhich application is made and I comply with the <br /> Stata Conlraclors Law 18.27 RCW and 29G.200 WAC. <br /> SignaWro o(OwnedContraclor/Aulhonzed Agent Dale <br />