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PEKMIT APPLICATION �3 0 � o i- o�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM 3 - a U -�o b <br /> SITE ADDRE83 PARCEL TAX I.D.N I �ERMIT N , � <br /> 3 / C ft-C l ICo�n �t- v i="� <br /> LEGA LOTNO. BLOCK 7RACT <br /> DESC. <br /> OWNEI2 ADDRE 8 21P E <br /> �CT��w� CONTACT FOR PERMR PHONE <br /> TENANTNAME <br /> �aiL/1 P f M .S�GH�N�J <br /> CONTRACTOR �QOO�M J� ��p � �H �DRESBZ 9 r�� CITV2IP PMONE <br /> � s ;ty 3tc Yo� 4 >t <br /> CONTR.LICENSE N ��D(rl /N�- � G �CMy 7�y/ L' <br /> P� v� tcZ <br /> USE OF BUIIDINC I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric _Gas_Olher � <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 7oilet A/C-alr hendling units <br /> Balhtub _ Forced air systems <br /> Lavatory(wash basin) _ Ges piping <br /> Shower _ Walerheater <br /> � Kltchen sink&disposal _ Gas(ireplaco <br /> Dishwasher _ Gasrenpe <br /> Clolhes washer _ Clothes dryer <br /> � Walor hoaler Renge hood <br /> Sink(servicelbar/mopletc.) _ Exhaust fen <br /> 8ack(low preventor _ Heal pump <br /> Urinal _ Unil healer <br /> _ Drink:�g Fountain Boiler <br /> Floor drain _ Re(rigeratlon <br /> Grease tr�p _ Woadslove <br /> Roof dra�ns __ Other <br /> Othnr — — <br /> CITY OF EVERETT LOCAL SALES TIU(CODE IS 7105 <br /> I hereby cerilily Ihal I havo read and examined Ihls applicallon and know Ihe same lo be true end crorrect. All provisions of laws end <br /> ordinaces governing thls type of work will be complied wilh whelhor specitied herein or not.Tho grenting o(a permil does nol presume <br /> lo give authority to vlolate or cancel lhe provlsion of any olher slate or local law regulating consWctlon or the performence ot <br /> conslruction.Thal I am aulhorized by Ihe owner of this property lo por(arm the work tor which eppllcetion Is made and I comply wilh lhe <br /> Slato Conlraclo Lew 18�7 RCW and 298200 WAC. <br /> �/_� �, a� �-Ly-oG <br /> Sfgneture o OwnadContraclodAuthorized genl ete <br />