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P�cRMIT APPLICATItiN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E`.'ERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857–www.everettwa.or <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P� � _ <br /> — , <br /> SITE ADDRESS PARCEL TAX I.D.N <br /> ' / �} :- O oSo6-aZZ <br /> LEGA LO7N0. LOCK TRACT <br /> UESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �c;i�ni:� t� � <br /> TENANT NAME CON ACT FOR PERMIT PHONE <br /> C/� �''] /`-p� ��r'I` �/?_S oZ3�l- ,f��l <br /> CONTRACTOR �,�;11e,-/-1e�(�c�,,.a;c�tl +-�C. ADDRESS CITY2IP PY.ONE <br /> /7��y /S�`���e. sra s,�� �oz-6 �/ZS- go6 ogyo <br /> '.:ONTR.LICENSE# �,�j�'�'C C �C �v /'* Cf�(J�� <br /> /u.�il���vc� �G <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Olher /� vQ� "L" <br /> � <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 1'oilel A/C–air handling units <br /> Bathtub Forced air systems <br /> ,� Lavatory(wash basin) Gas piping <br /> Shower � Water he2ter <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> �_ Sink(service/bar/mop/elc.) _ Er.haust fan <br /> � Backflow prevenler Heat pump <br /> � Urinal Unit heater <br /> Drinking Fo�ntain 8oiler <br /> � Floor drain Refrigeretior, <br /> I Grease trap Woodslove <br /> � Roof drains ��ther <br /> Other <br /> CITY OF EVERETT LOCAL SALGS TAX CODE IS 3105 <br /> I hereby ceritify fhat I have read and examineG lhis applicalion and know the same to be true and corred. All orovisions oi laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granling oi a permil does nol presume <br /> to give aulhority lo vi lale or cancel the provision of any olher state or local law regula:ing construction or the performance of <br /> construction:That I a�ay nzed by!he owner of this properry to periorm lhe work for which applicalion is made and I comply wilh the <br /> State CoNractors Lai�fB.'��-�29G.200 WAC. <br /> ,��y.�-�;'�i!,�, %C`J-�OS— <br /> SignalurC.of�OwnedContFactodAuth 'zedAgent Date <br /> ` <br />_ � <br />