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—� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8610— FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADD�SS �/ PA�EL TAX I.D.fl^h^� � �/�DI-O�� <br /> � r <br /> � '�C� iUtJUnTT <br /> LEGA LOT NO. 91.00K TRACT <br /> DESC. <br /> OWNER ADORESS CITY2IP PMONE <br /> � - , 5 �_ 3 <br /> TENANT NAME CONTACT FOR PERMIT PNONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> �o��NS� a�3 �u�►�� P� ��1� �U 9�zo3 C�laS)3�lts- <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �(� ��.7L� 1"�hl�-`/ ��E$�D�`!.1(E I l�Elocldc _Gas_Other <br /> WORKDESCRIPTION �U�� S�Cc�jJ� f�C "�R C�/VE�7 �/��s1.uv �/.�M��y ?t�J/{� <br /> pN�: U/i'.��y IQu.ay1 �/,/70 ��4M�� �PJ LIVI��G SPQL.t 7.a SACX <br /> 0/ {1W$E.� /.104 aAOF�E 7� EN� O� No��,56. <br /> 4��� T� o ti <br /> PLUMBING MECHANICAL <br /> NO. TVPE Of FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> � (I Toilet _ FVC-afr handling units <br /> , r Bathlub _ Forced air syslems <br /> ,.Z Lavatory(wash basin) _ Gas piping <br /> � ,�� _ Waterheater <br /> ' Kitchen sink 8 disposal _ Gas lireplaco <br /> � Dishwashor Gas range <br /> � Clothes washor � Clolhos dryer <br /> � Waten c�atar / Rango hood <br /> Sink(service/bai/mop/etc.) � Ezhausl lan <br /> Dackflow prevonlor _ Hoal pump <br /> Urinal � Unit healer <br /> Drinking Founlain _ Boiler <br /> Floor drain Refrigera�ion <br /> Grease trap _ Woodstove <br /> Rool drains Olhor <br /> Olhor <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 7705 <br /> I horeby coritify Ihat I havo read and ezamined Ihis application and know lhe same to bo trua and cortect. All provisions o(laws and <br /> ordinacos govorning ihis lype of work will bo complied w�tl whothai specifiod herein or nol. The granting of a permit does not presume <br /> lo giva authorily lo violate or cancol the provision of any o�nar state or local law regulaling iunslruction or the peAormance ol <br /> construclion.That I am authorized by Ihe owner o(lhis proporty lo porform the work for which application is made and I comply with the <br /> Slato CoMractors Law 18.27 RCW and 2�JG200 WAC. <br /> �-���.� � c• /-o n- 0 �- <br /> Siynaturo o(OwnedCo�clodAulhonzod Agent Date � <br /> '?. <br />