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PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 — FAX 425-25l-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCI:PTED FROM 8 AM TO 4 PM � I � I-� .� <br /> SITE ADDRES� (� a��%� PARCEL TAl(I.D.# PERMIT p <br /> � I�C L-���m L G'// - �'a ,, <br /> � <br /> l GAL lOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER (� ADDRE55 ,/� CITY2IP PHONE <br /> I tir�,� � IJ iC� � l ��l l , d C �n ' \ �l L VCJ�t'fi- 1()7(75 ��zS T �2 <br /> T'NANT NAME CONTACT FOR PERMIT PHONE <br /> �� <br /> CONTRACTOR AOJRESS CITY2IP PHONE <br /> � <br /> CONTR.LICENSE p � <br /> �"� �U/�-l'L� <br /> USE OF BUiLDING HEAT SOURCE CONTRACT PRICE OF WORK I <br /> � ' �� Eloctric _Gas_Olhor <br /> I ��� - <br /> WORK DESCRIPTION �� -/t /� <br /> i <br /> , <br /> � �x�� <br /> ; /- ,:•i Z� / � <br /> ��� r� i� � (ZC-�lIi�-J� C',^�6 •� ` � �7iC-�_ <br /> +. i C� <br /> �� r! � t�� � � J1 . <br /> ' � �_ � <br /> " PIUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> � Balhtub Forced air systems <br /> �— Lavalory(wash basin) _ Gas piping <br /> Shower _ Water heator <br /> � Kitchen sink 8 disposal _ Gas fireplaco <br /> Disliwasher Gas rango <br /> Clothes washcr _� Clolhos dryor <br /> Walcr healer Rango hood <br /> Sink(service/bar/mopletc.) �_ Exhaust lan <br /> Oackflow preveNer _ Heat pump <br /> Urinal Unit hcater <br /> Drinkin� Founlain _ Boilor <br /> Floor drain Rofrigoration <br /> Grease trap _ Woodstove <br /> Roo(drains Olhar _ <br /> Olhe.f <br /> CITI OF EVERETT'_OCAL SALES TAX CO�E IS�105 <br /> I hereby cerili(y that I have read and examined ii:s application a�d know the same to be lruo and correcL Atl provisions ol laws and <br /> ordinaces c�ovominc� lhis rypo o(work will bo compi`ed wilh e�helh�r specilied herein or noL The granling of a permit does nol presume <br /> l0 9ive aulhori�y to violalo or cancel Ihe provislon o� any o�h�r stato or local law rogulaling consWction or lhe per(ormance ot <br /> construction. That I am authopzed by Ihr,owner of Ihis propc�ry lo poAorm lhe work(or which application is made and I wmply with the <br /> State Conlraoto�La�4� 7 RCW and 29fi.200 VJ,4C. <br /> ��- � ` I I-1? -Cj� <br /> Signa e of wnodConlractor/Aulhorized Agenl Date <br /> -- - -- --- <br />