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_ �; �.,- <br /> „� <br /> P�RMIT APPLlCATI(�N <br /> CITY OF EVERETT PERMIT SERVICES I <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 ADDRE5S PARCEL TAX I.D.tf P RMIT# <br /> j�;�� .; , (, �1C' — � C <br /> LEGA LOT NO. ULOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> G7 <br /> �� > ���, /a� f — <br /> TENANTNAME � CONTACTFORPERMIT PHONE <br /> � , <br /> � � <br /> _''/. /_ ) T .` r-,. �' ��� <br /> f <br /> CONTRACTOR �'� /� /'�( ADDRESS CITYlZIP PHONE <br /> d� l Yirl ' l � �� � i„�. ���, (.J�i `1! „l " . �' I <br /> CONTR.LICENSE q . ����� ll,} , , � � � - <br /> ��i;'�Till�-9' ID ' <br /> USE OF BUILD� — HEAT SOURCE CONTRACT PRICIi OF WORK <br /> ✓ Elechic _Gas_ Otli�r 7 ' � <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYP[OF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> Baihtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower __ Water heater <br /> � Kitchen sink&disposai _ Gas tireplace <br /> _� Dishwasher _ Gas ren�e <br /> Ciothes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaus[fan <br /> Bar,kflow preventer _ Heat pump <br /> Urinal ' Unil heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Retrigeralion <br /> Grease trap _ Woodslove <br /> Roof drains Other <br /> Olhor — <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S J105 <br /> I hereby ceritify thal I have read and examined this applicalion and know the same to be true and correct. All provisions oi laws and <br /> ordinaces goveming lhis type ot work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority lo violate or cancel the provision oi any othar slate or local law regulaling construclion or the peAormance of <br /> construclion.Thal 1 am authorized by Ihe owner of this property lo perfortn ihe work tor which application is made and I comply with lhe _ <br /> State Conlractorataw 18.27 RCW and 296200 WAC. <br /> J., f_f,_ <br /> Signalu e o OwneriGon ractorlAuthorized Agent Date <br />