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�$ A <br /> , <br /> P�RMIT APPLICATIUN <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 <br /> SITE ADDRESS r /' ^ q PARCEL TAI(I.D.A PERMiT� <br /> � K�Y l, '� \ �� ���� ���, �; � �3G,c o��>� s v.�— Gn � <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS CITY' IP PIiONE <br /> '�\ � �,�� �� 1�'� I I�� " �P� , �,���,q8��s �, <br /> TENANT NAME �"'—� CONTACT FOR PERMIT PHONE � <br /> �� �`- S�b�-� 425'a391 yaa�1 <br /> CONTRACTOR ADDRESS CITY2IP PMONE <br /> CONTR.LICENSE M <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric _Gas_Olher <br /> WORK DESCRIPTION <br /> ��� ���� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilol A/C- air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash hasin) _ Gas piping <br /> Shower Walor hoalar <br /> Kltchen sink 8 disposal Gas lireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryor <br /> Water heatnr Rango hood <br /> Sink(service/badmopletc.) Exhausl tan <br /> Backllow preventci _ Hea�pump <br /> Urinal Unil healer <br /> Drinkin� Fountain Boiler <br /> Floor drain Relrigaralion <br /> Graase trap Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I hereby cerilify Ihal I have read and examined Ihis appGcation and know ihe same to be lrue and correct. All provisions of laws and <br /> ordinaces�overning Ihis typo of work will be complied with whelher specified heroin or no�.The granting of a permit does nol presuma <br /> to give authorily to violalo or cancel lhe provision of any othor state or local law regulating wnstructlon or the perlormance ol <br /> constniction. That I am authorized by Ihe ownor of th�s property to perform the work lor which application is made and I comply with the <br /> Sfale nlred aw 1 .27 and 296.200 WAC.� ^ �^ <br /> —�' �� 0 S� <br /> SignaWre of Ow or onrtacror/Authonzed Agenl Date <br />