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i <br /> PERi1r:lT APPLICAT'IO�V <br /> CITY OF EVERETT PERM17 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 <br /> SITE ADDRESS PARCEL TAX I.D.# P,61jM1T# ' <br /> 372 3� ur�z �3739250DDD1 '''/-�' <br /> xiL��� <br /> LEGA LOTNO. OCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PMONE <br /> Cz�a�ut 36� �old���,s 2 �17�0�.l��'el�veUe�f Y��� `fz,�-z�z-Zu <br /> TENAIJT NAME CONTACT FOR PERMIT PHONE <br /> s� Sfe�e d�a�es zo�-� �z-s� <br /> CONTRACTOR ADDRESS GITY2IP PHONE <br /> Dl��,��� �etiev�u� ��f�a�t�'� �ve�7t- g-zs-.sUg-3o79 <br /> CONT .LI ENSE# <br /> JSE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> O�f�- _Eleclric �Gas_Olher �/�D� <br /> / <br /> WORK DESCRIPTION Te�.��c/ �'Gh pl�,UvP/�NP��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel FVC—air handling units <br /> Balhtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> � Sink(scrvice/badmop/elc.) Exhausl fan <br /> _ 8ackflow preventer Heat pump <br /> Urinal Unil heater <br /> Dnnkinc�Fountain Boiler <br /> Flnor drain Ref�igeralion <br /> Grease trap Woodstove <br /> Ruof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritity thal i have read and examined this application and know ihe same to be true and conecL All provisions o(laws and <br /> ordinaces goveming this typo o(work K�ill be complied wilh whelher specified herein or nol Tho granling o(a permit does not presume <br /> lo give authonty to violate or cancel the provision of any olher slate or local law regulating conslruction or the periormance o( <br /> conslruction.That I am aulhorized by Ihu owner o(this property to pedorm the work for which applicalion is made and I comply wilh the <br /> State C tr lors Law 18 RCW ar�d 29G.200 WAC. <br /> ��r, ��� ��s��� <br /> Si ialure of OwnedConlractor/Aulhorized Agent � <br /> '�y <br />