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-� <br /> PtRMIT 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 AHE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# FlERM1T# �� <br /> 7Z GfJll G�' O .'� �J D�,; �'� � �� <br /> LEGAL LOTNO. BLOCK TRACTORSUBDIVISION# <br /> OESC. <br /> OVlNER ADDRESS CITY/ZIP PHONE <br /> ��w�' � J��diti��s 37Z� /��uJ�1, SY� �4/f��eyel�.�//r9- YZ3"-z�z-zz��� <br /> TENANT NAME CONTACT FOR PE I PHO E�6�6C�' J��OO <br /> /�J� ' S�WG �'"' "`✓J E-MAIL Y GLO/N <br /> - I TR Cfo �� �,y1 �G , DFE S 3�2.6 lSrv W i i H � <br /> CONTR.LICENSE p � � ������ v �� ���G��3� �zD g� _ �� <br /> o�y�rP g�s'Pz <br /> USE OF BUILDING HEAT SOURCE I NTRACT PRICE OF WORK <br /> ��� __Eleciric �Gas_Other " 1 f��� <br /> WORK DES�RIP710N T��y /��NUve�eK.L y� S�te�! ��-y�"� ��� <br /> !B I { 1 v� �•(.u.v <br /> O�GeS <br /> PLUMBING MECHANICAL <br /> ryp. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilc� NC-air handling unils <br /> Balhtub Forced air syslems <br /> _ Lavatory(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 healer Range hood <br /> Sink(servicePoadmop/elc.) _ Exhausl fan <br /> Backflow preven�er _ Hea�pump <br /> Urinal Uni�healer <br /> Drinking Founlain _ Boiler <br /> Floor drain Refrigera�ion <br /> Grease trp _ Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVEflETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceri�ify�hat I have read and examined this application and knuw ihe same to be true and correcL All provisions o(laws and <br /> ordinaces governing lhis rype of work will be complied��ith whether specilied herein or noL The granting of a permit does nol presume <br /> to give aulhority to violale or cancel ihe prmision ol any other state or local law regulating censtruction or the performance of <br /> con;lruction. Thal I am aulhorized by lhe owner of Ihis properly to perform Ihe work for�vhich application is made and I comply�vilh th�: <br /> State Conlraclors Law 1827 RCW and 296.200 WAC. <br /> ����f� �'h/07 <br /> Signalure of OwnedCon rzclodAulhonzed Ayent '� Date �/ <br /> L <br />