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PCkMIT APPLICATIUIv <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— Fl�i 425-257-8857—www.everettwa.org <br /> �,a c"2 � APPLICATIONS ARE ACCEPTED FROM 8 AM TC 4 PM 1 G - �y -�'U <br /> SITE ADDRESS- PARCEL TAl(L0.p P,�RMIT k <br /> ��7 ���3i� 0 � n�-i�'- n�7 <br /> LEGAL LOTN�. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS � CITY2IP PHONE liZ�_�2_ 5� S <br /> � & B �NVESTMENTS �' 115� � �� S't • NE TULAU(' q$27/ �12f-232-IS / <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> gALB1R SINGN �-1ZS —232— 15S f <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR.LICCNSE 11 -7-���-- <br /> USE OF BUILDING / HEAT SOURCE CONTRACT PRICE OF WORK <br /> _El�clrir. __Gas__Olher <br /> WORK DESCRIPTION <br /> �"' � ''� �--,-' <br /> /�C /r^ "� l��t ' �� <br /> PLUMBING MECHANICAL <br /> NO. NPE OF�IXTURE OR IT[M � NO. TYPE OF FI%TURE OR IiEh1 <br /> Tollo� _ A/C-atr handling units <br /> Oalhtub __ ForceA air syslems <br /> Lavalory (wasli bnsin) _ Gas pipiny <br /> Showor __ Watcr heatcr <br /> Kllchen sink A d�sposal ___ Gas(irepler,e <br /> Dishwasher ___ Gas ran�e <br /> Clolhes washr.r __ Clothes d�-er <br /> Wa�crhoatcr _ Rangolwod <br /> Sink(sorvice/badmo��'ctr..) _ Exhausl fan <br /> Backllow preventor _ Heat pump <br /> Urinal Uni�heater <br /> Drinking Founlain _ Bolior <br /> Floor drain Refrigeralion <br /> Grease trap _ Woodstove <br /> Rool drains Other ____ <br /> Othcr------- --- — ---- <br /> CITY OF EVERETf LOCAL SALES TA7(CODE IS 3105 <br /> I horeby ceri�ily Ihal I havr, read and examinud�his applicalion and know�he same to be true and corr�:l. All provisions of laws and <br /> ordinaces c7overnin� lhis type ol work will bo compliod wilh whelhor spocified herein or nol The granl�ng ol a permit doos no�presume <br /> �o giv�authorily�u violale or cancel Ihe provision ol any olhor slato or local law regulaling construcliun or iho perlormance of <br /> cons�ruction.That I am aulhorized by Ihe owner ol this property lo peAorm Ihe work lor which application is mado and I comply with Ih:i <br /> Slalo Conlraclors Law 18.27 RCW and 29fi200 Wl�C. <br /> �.�.�! �� � _s2� <br /> Signature ol OwnedContr�c�or;AuthorizcA Agont �a,e I <br /> --- -------- _ l <br />