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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 ACCEPTFD FROM 8 AM TO 4 PM <br /> SITE ADDRES � O �� � CJ�ARCEL TAJ(I.D.IF PERC,MITO _ <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ic6i3«�ScnJ ����n1���5�3 I�Ic� l�o)�I c�2,�+�cl�rr-�z (.n1 G�cc,2n-5 ,i.,�'� 9kZ� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �Jri�.l L' /J //�- LmZ,Z � rti�+���-,Z yz �-zC�'- 35�� <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE# <br /> � i . ; . , <br /> USE OF BUILDING HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> — � ��eclric _Gas_Other `� '7 C�U 'U� <br /> WORK DESC IPTION �1/� n���� / � �r/���,��� <br /> ll� ✓ �/V � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR I7EM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Dalhlu6 Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Watcr heater <br /> Kitchen sink&disposat Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryer <br /> Laundry tray Range hood <br /> Sink(eervicr,/badmop/etc.) Exhaust fan <br /> BackOow preventer Heatpump <br /> Urinal Unil heater <br /> Drinking Fountain � �oiler <br /> Floor drain Refrigeration <br /> _ Giease Irap Woodslove � <br /> Roof drains Other <br /> _ Olher _ ( I <br /> CITY OF EVERETT LOCAL SALES TAX COCE IS 3105 I <br /> I hereby cerilify lhal I have read and examined this application and know Ihe same to be We and wrrect. Ail provisions o(laws and <br /> ordinaces.gQQver�Ij�g lhis type of wor yyy���ill be complied with whelher specified herein or not.The flranling of a permit does not presume <br /> to�ive authoijly�t6 violale o ca el 1�provision of any other slale or Iocal law regulating construclion or the perfortnance of <br /> consiructionytf�l I am au oriy ��the owner of lhis property lo pertorm t wor or which application is made and I comply with lhe <br /> Slalo�Contre rs Law 1 . nd 29G.200 WAC. <br /> �,�. ! � - z � Z� �� S <br /> Signalu�of i wnedCop rac or ulhorized Agenj([/3,h15c �-��. /�,C ale <br /> J <br />