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P�RMIT APPLICATII�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> C�G�Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PAFCEL TAX I.D.N PERMIT N <br /> .J ��) -� . �.✓ �rl /�I - - — <br /> LEGAL LOTNO. BLOCK TRACT <br /> �ESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> IC ,A h I �e / C/JO C'I <br /> TENANT NAM' I CONTACT FOR PERMIi PHONE <br /> CONTRACTOR U✓'D P���ti6i��S ADORESS CITY2IP PHONE <br /> CONTR.LICENSE N r' <br /> 1�1� P�(,/ o')� f<.T �92Z S�ri���, j1cX S'i,o�oav:�1 360S6X )�z� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � � � _Eleclric _Gas_Other <br /> WORY.OESCRIPTION � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIxTURE OR ITEM <br /> � T�ilol _ A/C-air handling units <br /> eathtub Forced air systems <br /> _Li Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink 8 dis��osal Gas fireplace <br /> �)ishwasher Gas range <br /> Clothes washer Clolhes dryor <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/elc.) Ezhausl tan <br /> Backllow preventer Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Rofrigeration <br /> Grease trap Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br /> I hereby ceriliry that I have road and examinod lhis application and know the same to be Irue and correcl. All provlslons o(laws end <br /> ordinaces governing lhis type of work will be complied wilh whethor specified herein or�ot.The granling of a pertnll does nol presume <br /> to give aulhonty to violale or cancel the provision of any olher slate or local law regulating wnstruclion or the perfortnance of <br /> conslruction.That I am authorizod by the owner of this propeAy to perform lhe work for which appllcatlon Is made and I comply wilh the <br /> State Conlractors Law�18.27 RCW and 296.200 WAC. <br /> 6/G... ,! )�L 1.�,_ _'—`_ � 6 , v>� <br /> SignaWre o wner/ ontractod uthonze gent ato <br />