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� PF,ZMIT ARPLICATIG�J <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VVA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARc ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACC�EPTED <br /> SITE ADDRE55 , PARCEL TAX I.�.# P RMIT# <br /> 3L��s a������ y , � - oa� <br /> LEGA LOT N0. BLOC TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PHONE <br /> TENANT NAME ' I CONTACT FOR PERPAIT PHONE <br /> ;�lJo�r�so/r1jr.vu c o�-- <br /> CONTRACTOR ,,/) / �� ADDR SS CITYIZIP PHONE <br /> �'/ 1 C(/L/Lt � l�f/h�� <br /> CONTR.LICENSE# <br /> USE OF BUILDING , HEAT SOURCE CONTRACT PRICE OF N'ORK <br /> � <br /> �'j���t� � _Electnc _Gas_Other <br /> I <br /> WORK DESCRlPTION <br /> 1 �� �� �'JQ�—�� — ��C1 6/�, Y ��4�' �' '�S 1'ri °-I <br /> ,fy d�_ <br /> IPLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Ctothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> I � Unnal _ Unit heater <br /> Drinking Fountain 8oiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> i — <br /> � <br /> CITY OF EVEkETT LOCAL SALES SAX CODE IS 7105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and i <br /> ordinaces governing this rype of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to�iolate or cancel the provisicn of any other state or local law regWating consiruction cr the performance of i <br /> corstruction.That I am autho�n ed by the owner of this property to perform lhe work for which application is made and I r,omply with the <br /> St�teLantraotors Law 18.27'r�CW and 296.200 WAC. <br /> � i���.i��J U �Z/� ; <br /> �ture of wnenCcntractor/Authonzed Agent Dafe � �/a <br />