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PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.everellwa.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM �G -� � �, <br /> SITE ADDRESS �PARCEL TAX I.D.p PERMIT# <br /> _L1_�L ��NbO1-,� � �� n�o7io_L, �� �i <br /> LEGAL LO7 NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC.--_— _ — _ <br /> OWNER ADDRESS CITYIZIP PHONE <br /> T�1 <br /> � � --�f-236�L—���aAo S ��,�c�A9�al <br /> ANT N E CONTACT FOR PERMIT PHONE <br /> E•MAIL <br /> �bAfi�AE�6Ft - — I <br /> CONTR.LICENSE il / <br /> _ ����� ��k��t�-� 94 ZI�A �, ,/ <br /> USE OF BUILDING �. GY��p� NEAT SOURCE CONTRACT PRICE OF WORK <br /> /J4C <br /> _[Ic�ctrir. �s__Olher <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> N0. TYP[OF FIXTURE OR ITEM NO. TYPE OF FIxTURE OR ITEM <br /> ---- �Toilet --�-�-��—- ---�---- -- - A/C-air hanAling units <br /> __ �3����iii�� _� Forr,ed air syslems <br /> __ Lavalory(wash bnsinl (�/_. Gas piping <br /> __ Shower �_ Walerhealer <br /> Kitchen sink 8 dispos,I _ Gas firoplaca <br /> Dishwasher Gas ran{7e <br /> Clothes washer Clothes dryer <br /> --�-- Watcr h��tcr Rangu hood <br /> _ Sink (servicc/badmnplcicJ � Ezhaust lan <br /> H�ckllow prevenlcr Heal pump <br /> Urinal Uni�heater <br /> _ Drinkin� Founlain _ Bollor <br /> Floor drnin Relric�eralion <br /> Grease trap Woodslovo <br /> Roof drains Other . <br /> OUtor -- <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> I hereby cerilify Ihal I have read and examined ihis applicalion and know Ihe same to bo lruo and correct. All provlsions ol laws and <br /> ordinaces govemin�ihis typn of worh will be complied with whether spocilied herein or nol. The granling of a permil doas nol presumo <br /> tn glvc aulhorily lo violal2 or canccl Iho provision ol any o0wr slate or�ocal law ro�ulating conslniclion or the poiformanca ol <br /> mnslruction. That I am autho ized by Iho ownr,r of this properly to pedorm Iho work lor which application is made and I comply with�he <br /> Stale Contraclors Law 1H.27 C and 29f.200 WAC. <br /> � rolz�l �,�, <br /> Siyn.tluru ol Owner/' nlri ut on7ed Ac�en� Dal <br />