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� —b'7 <br /> PERMIT APPLIC�►TION <br /> CITY OF EVERETf PERMIT SEI�VICES <br /> 3200 CEDAR STREET, EVERET'I", WA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT p <br /> I`t+ L-- �^ ��_U Gt-��� � ��ovs-oo �—v�. C o 7 0� �o zs <br /> LEGAL LOTNO. BLOCK TRACT <br /> oesc. $' /' ,��`1�;� _�p/.+�� 'p t�l , � 1 U v1 1 � � l�i� . 9 <br /> OWNER DDRESS r CITV2IP PHONE <br /> �-�\-��..Z ^. .: S.�b�-e Ca�+ �..� t���.'�q*� oR �n;�.k;I� 5��os �►•-� <br /> TENANT NAME CONTACT FOR PI'RMIT PHONE <br /> :; • . � �i� Tua�e. � y2s- �9o - iysto . <br /> CONT '.CTOR ADDRE9S CITY2IP PHON,: <br /> t�l ��� ,r ,: ,S�-p,e. tws.+ a��. ig�\ S9►'� � . . Mrv,1+�;1'� y z5�' z°►a <br /> GONTR.LICENSE ll �r � <br /> �L'`_� Cl.�'F f � I y�11 ("S� 1� "��,��5 , �� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S'�' �� _Electric �Gas_Other /�`j /5 � <br /> — � <br /> WORK DEBCRIPTION <br /> �.�' �, a ,� � r�. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> � Toilot I A/C-air handhng units <br /> � Balhtub j � Forcod a�r systems <br /> �' Lavalory(wash basin) �� 1 � _ Gas plping <br /> Shower � � Walar heater <br /> Kitchon sink&disposal Gas lireplace <br /> Dishwashor Gasrangn <br /> Clothos washer � Clothes dryer <br /> Walor heater � Range hood <br /> � Sink(serviceNar/moplotc.) _� Ezhaust(an ��� I' <br /> BackOow prevenlor __ Heal pump <br /> Unnal Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Greaso trap _ Woodstove <br /> Rool drains Other <br /> OII er — <br /> CIN OF EVEkETT LOCAL SALES TAX CODE IS 3705 <br /> I horeby wrilify that 1 have�ead and examined this application and know the same to be true and covecL All provisions of laws and <br /> o�dinaces yoveming this type of work will be r.omplied wilh whMher speci(ied herein or not.The Srenting of a permil does nol presume <br /> lo grve authority lo violale or cancel ihe provision of any o�hor slate or local law regulating conslruclion or Ihe periormance o1 <br /> conslruction. That I am authorized by the owner of lhis propeMy to perform lhe work for which epplica�ion is made and I comply wilh ihe <br /> Slate Copl�a�t�rs Law 18.27 RC`W aqd2AG 200 WAC. <br /> � <br /> ,., , . , •�, �� �u , , 3 ' �_ C � <br /> SignaWro of JwnedConiracl dAuthonzed Agent Da�e `' <br /> Y� <br />