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pERMIT 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 ARE ACCEPTED FROM 8 AM TO 4 PM S � 'a �O '� <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT p <br /> 69,� �. � a(� ,.ZBc�sv7oc��/ o� PD �vS -o�� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PMO <br /> �GG Z �- �� ��*.t✓ G �/C E��.� � ''�'�-,T.r� ��/i <br /> E(/ec�rri.✓ q�Zd; <br /> TENANT NAME CONTACT FOR PERMIT PHOdE �si�97p7 <br /> � ViS <br /> �'Y aD�L� ✓/�dL '�pi��r �C. E.MAIL�/`�Ei��.r.fi�(:/r�!/• <br /> �TE'//lA�f�6• '�tiC ,z i;�x. ie� �a'rs��n 9�o�, �r -�St'9707 <br /> CONTR.LICENSE p <br /> S.�'��lL��f3it'�f' <br /> USE OF BUILD G HEAT SOURCE CONTRACT PRICE OF WORK <br /> �.. <br /> v �-�,��-� � _Electric _Gas _Olher � 7 3�� .- <br /> — � <br /> WORK DESCRIPTION <br /> ,�a,/��`j �h dl��'�-�� <br /> v <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> Toilet A/C-air handling uni�s <br /> 8athtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Waler healer <br /> Kilchen aink 8 dispos:�l Gas lireplace <br /> Dishwashcr Gas renge <br /> Clolhes washer Clo�hes dryer <br /> Water heater Range hood <br /> Sink(service/barhnop/r.lc.) Exhausl lan <br /> �ack0ow prevonler Heal pump <br /> Urinal Unit hoator <br /> Drinking Fountain Boller <br /> Floor drain Refrigeration <br /> Groaso Irap _ Woodstove <br /> Roof diains Other ._ <br /> -- Olher--- - - <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I heroby cr,rilify lhat I have read and examinod this applicalion and know the sama to be true and correct. All provisions of laws and <br /> ordinaces governinc� lhis lyp�o(work will be complied wilh wholher specilied horein or noL The granting of a permit does nol presume <br /> lo yive aulhority lo violate or cancel lht�provision ot any olher slalo or local law rPgulaling construction or Ihe perlormance of <br /> conslruclion. Thal I am authurized by the ownar ol this property to perform lhe work for which applicalion Is made and !comply with�he <br /> Slale Con' a'' rs Law 1ti.27 RCW and 296.20fi WAC. <br /> i-.�3-rJ�' <br /> gi ur ot OwnedConUaclorlAuthorizad Agenl Dale <br /> � <br /> � — ---- — - <br />