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- <br /> P'tRMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES 7��3�07 <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 �7 L�9 <br /> SITE ADDRESS PARCEI TAX I.D.p PERMIT# <br /> z� -- E G �N 6 �! 1 /_� oS�o - o�17� <br /> LEGAL LOT NO. BI.00K TRACT OR SUBDIVISION p - <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ���� ��� ��+cs z36� z- y�a� a� s ���_� q�a.� Q��- 9s�--�'s � <br /> TENANT NAME I CONTACT FOR PERMIT PNONE <br /> E�MAIL <br /> � <br /> CONTR.LICENSE M � � � �S(_ �7G ^ O��� <br /> USE OF BUILDING I HEAT SOURCE � CONTRACT PRICE OF WORK <br /> I _Electric _Gas_Othor <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF PIXTURE OR ITEM <br /> Toilet P1C-air handling units <br /> BathtuU Forced air sysloms <br /> � Lavalory(wash basin) vas pipinq <br /> Showcr Wator hoator <br /> 3_ Kilr,hen sink 8 disposal Gas tireplaco <br /> �_ Dishwasher Gas range <br /> Z._ Clothes wssher Clothes dryer <br /> �_ Waterhealor _ Ranpe hood <br /> _ Sink (scrvico/bar/moplelc.) Exhaust lan <br /> _ �ackflow prevenler Heat pump <br /> Urinal Unit heater <br /> _ Drinking Fountain Boller <br /> _ Floor draln Refrigeration <br /> _ Grease trap Woodstove <br /> Rool drains Olher <br /> Olher <br /> CITY OF F.VERETT LOCAL SALES TAX CODE 13 1706 <br /> I he�eby cerilify that I have read and oxamine�d Ihis application and know lhe same lo be true and correct. All provisions of laws and <br /> ordinaces c�oveming Ihis type o1 work will bo comp6ed with wholher specilied horein or not.The granling ol a permit does nol presume <br /> lo give authority�o viola�e or canccl the provision ol any olhor slale or local law regu�aling conSWction or�he pertormance of <br /> conslruction. That I a authorized by the ownor of this properly to peAorm the work lor which application is made end I comply with the <br /> S�alei Coniractors La 1A.27 RCW and 296.200 WAC. <br /> / ,_A � � o�7 <br /> Signedu Own nl ctor/Aulhoriied Agent D le <br />