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PtRMIT APPLICATIt�N <br /> CITY OF EVERETT PERMIT SERVICES .� _a3 -�) <br /> 3200 CEDAR STREET, EVERFTT,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 TA% I.D.# PERMIT M � <br /> z7 — E G �No 0 0 - 0 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDR[SS CITYIZIP PNONE <br /> I � ,� __ M�s �36� Z - y�a� n� s /��_� q8a.�z Qmb— 9s �--s'� 4 <br /> TENAN?NAME CONTACT FOR PERMI7 PHONE <br /> E-MAIL <br /> —�� __.________ Z`7 YI ___ <br /> -�'�� l" ��"'.'� � 2.S�- � 7G - 09G� <br /> CONTR. LICENSE JI <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> [Icc�rir. Gas Othcr <br /> — _._. - .. ----- ----- <br /> WORK OESCRIPTION <br /> -----..-_ ..—_. .--- ----------------- <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FI%TURE OR IIEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilet ___ AIC - air handling units <br /> Balhlub ____ Forced air syslems <br /> �� Lavatory(wash basin) --- Gas pipin9 <br /> Shuwer __ Wat�r hratcr <br /> � Kitchen sink 8 disposal ___ _ G�s �ireplace <br /> � Di,hwashrr _ Gas range <br /> �_ Clolhes washci ___ Clolhes Aryer <br /> �- Watr.r hoatcr _ ._ Ranqe hood <br /> Sink(service/barhnoplelc.) __ Exhausl lan <br /> �acYJlow preventer __ Hr.al pump <br /> Urinal __ UniUieater <br /> Drinking PounLun _ __ Boilor <br /> Floor drain ___ Refri�eralion <br /> Grease trap ____ Woodslovo <br /> -- Rool drains __ O�hcr _ <br /> Olhcr ------- <br /> — - . . ._ . _ — ----------- <br /> — _. ---- -�- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby r.eriUly Ih:d I have read and examined lhis applicaliun and know ihe same lo be Irue and corred. All provisions ol laws and <br /> � ordinaces�uverning Ihis lype o�worF,will he cumpli�d wilh whrlher specilied herein or not. The�ranliny ol a permil does nut presumr, <br /> to givo aulhorily In violate or r.ancel Ihe provision of any olher stale or local law regulatin�construction or ihe performance o( II <br /> wnstruclion. That I a n aulhorilud by the owner ul Ihis pmperly lo perform Iha work lor whir.h apphcalion is made and I com;�ly wilh ihr, <br /> � Slate CoNradnrs l.n 18 27 f2GW and 29fi200 WAC. � <br /> � ,� ,.� � `-1 l 2 �,IO� � <br /> SignaW Uwnr� .. nt ctu�;AulLorizr,d Agon� — �1 D�o I <br /> i <br /> I <br /> I . . _-'. . .. . _...--- ---------- � <br />