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PcRMIT APPLICATIUN <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 ARE ACCEPTED FROM 8 AM TO 4 PM I �'�D � <br /> SITE ADDRESS PARCEL TAX I.D.q PERMIT# <br /> ��D� �A��s=r'Pf N �it `�C" '� `� c - <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY/ZIP g���� PHONE ;)5-) - q S3 S <br /> �7'�z U�l'v �'� �i�'�J�� 1 '>C%� G�L l�j��� / \ iT�L, LV� {rT <br /> TENANTNAME � CONTACTFORPERMIT PHONE <br /> CONTRACTOR � , ��� ADDRESS CITY/ZIP PHONE <br /> CONTR.LICENSE p <br /> USE OF BUI�DING — HEAT SOURCE�ONTRACT PRICE OF WORK <br /> Eleclric _Gas__Olher <br /> WORKDESCRIPTION ,ii"✓Il-L Y/�:'1t� Ft Tt^L.w'? (h� �� Lw�U> �? ��1,;tiU1(� ��J.-`1-(_ <br /> �..�aoidTiV� <br /> ,� �'ii� i� 1 �',�ti���J � � HEY � I�OG�L ��01�� � G� itiIIJ ,('L �c�Z��4 <br /> J <br /> , ii � r,.�_ �. � �- � D�— �UL� (ZS <br /> '�: � 1��:,�� t_. `z �•� crl�� C� � 1����}� 1CC <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TUR!'OR ITEM <br /> Toilet A/C-air handlinp units <br /> �alhlub _ Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Showcr _ Watm heatr,r <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwashcr __ Gas renge <br /> Clolhes washcr _ Clo�hes dryor <br /> Waler hoaler Ranc�e hood <br /> Sink (scrvice/barlmoplr.lc.) _ Exhaust 1an <br /> Dacklbw preveNer _ Heal pump <br /> Urinal Unit healcr <br /> Drinkinc�Founlain _ �oiler <br /> Floor drain Rolrigcration <br /> Groas�Irap _ Woodslove <br /> Roof drains Othor <br /> Othcr—.-----. — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby cerilily�hat I have read and examined Ihis applica�ion and know Ihe same lo be Uue and correcL All provisions ol laws and <br /> ordinaces��oveminn Ihis lype ol work will bo complied wilh whelhor specilied herein or nol Tho granting ol a parmi�does not prosume <br /> to e�ivo aulhoriry to wolate or cancel Iho provision ol any olher state or local law regulating consiruction or ihe peAormaneo oi <br /> consiruclion. That I am a�dl7orizod by lho owner ol this property to portorm th�work lor which applicalion is made and I comply with the <br /> Slate C lractorsLaw-18 21 RCW 2nd 29G.200 WAC. <br /> _�;-r� �. � _-� , - �r� -�� � <br /> Signa�u o OwneM onlraclorlAulhorized Agen� Da�e / <br /> �(L <br />