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PtRMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES � `73 -O � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8$57 -www.evereltwa.org <br /> _ APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM P��./D <br /> S z7 OR� [�/,(/� � � �i 1 PARCEL TAX I.D.# PERMIT p <br /> �'��s,� - 64� � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION ll <br /> DESG — <br /> �WNER ADDRESS CITY2IP PHONE <br /> � �� � M��8z - �/��l �! /�.�,� g��3z �� <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E•MAIL <br /> -�a � .� �= ,�,�,"..�--����— , <br /> CONTR. LICENSE M � ��_ g )6 -oq6 <br /> USE OF BUILDING — — -- I - --HEAT SOURCE — I CONTRACT PRICE OF WORK <br /> f_Icctric Gas Other <br /> WORK UESCRIPTION <br /> PLUMBING 1 MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C -air handlinc� units <br /> Ll?_ d��h���� ForccA air systems <br /> �� Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> � Kitr.hon sink 8 disposal Gas fireplace <br /> � Dishwashcr _ Gas range <br /> Clolhes washer __ Clolhes dryer <br /> Walr.r licaler __ Ranyo hooJ <br /> _ Sink(service/bar/moplolc.) Exhaus�fan <br /> ___ [3ack0ow preventer Heal pump <br /> Urin�d Unil hoater <br /> Drinkiny Fomitain Boiler <br /> Floor drain Refrigeralion <br /> Graase irap Woodslove <br /> _ Roo�Arains Olher <br /> _ O�hcr----- ---- — -- I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilily Ihat I have read �nA rxamineA Ihis applica6on anJ know Ihe same to be Irue and wrrecL All provisions ol laws anA <br /> ordinaces�ovemin� mis lype of work will bo complied wilh whelher specili��d hereln or nol. The granting of a permif does nol presume <br /> lo yive authonty lo violatu or cancel Ihe provision o�any olher stal�or local law regulaliny construclion or the pedormance ol <br /> construction. That I am aulhonred by the owner of Ihis propr,rty lo perlorm Ihe work br whir,h applicalion is made and I comply wilh lhe <br /> Slnte Contractors aw 1t1.77 RCW and '196200 W�C. <br /> Si9na c ol( i r(. �nlr:irl,��Ihuri7rA Ac7enl �-/—�pat�- <br /> �_ <br />