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P'�RMIT APPLICATIC.�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everett�va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> S�7E ADDRESS PARCEL TAX I.D.M PERMIT N <br /> ' ✓(r t� �sric ,�� Osd �o G <br /> LEGA LOTNO. BLOCK TkACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PNONE <br /> ��d r-,�iSM ��, �J ��„�, �.� .�n' ��.�� <br /> 7ENANT NAME CAONTACT FOR PERMIT PHONE <br /> /-/r5/ L�l'/l�l�l I �t^L!'l I�ir'!'!c� �/c�S-l/O-s'g'�/ <br /> C�O TRACTOR � AD RD ESS A CITY2IP/ PHONE <br /> !"'l�nrn,� ,�,Jb,,,//�" /["7� a.3�� �u�.F� .`}7n %,�, ,,,tW(y../S� ��dx-..�1,�~'_'��+-d` <br /> CON,� LICENSE M <br /> _. �J!'�IL^.�iL�Z�S!'L�f�7��� <br /> USE OF BUILDING I — HEAT SOIIRCE I CONTRAC7 PRICE OF WORK <br /> �j/,��.4 ���,,� Electric Gas Othor /�OO�� <br /> 7 <br /> WORK DESCRIPTION <br /> ,,��1 <br /> �,� <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C-airhandlingunits <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas pipinp <br /> Shower Water healer <br /> _ Kilchen smk 8 disposal Gas fireplaco <br /> _ Dishwasher Gas rango <br /> _ Clothes washer Clolhes dryer <br /> _ Laundry tray Ranpe hood <br /> Sink (servicelbadmop/olc.) Ezhaust(an <br /> _ Backflow prevonter Heal pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> _ Floor drain Relrlgeration <br /> Grease Irap Woodstove <br /> Root drains Olhar <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS J105 <br /> I hereby ceritify Ihat I have rcad and examined this application and know lhe same to be lrue and wrrecl. All provisions of laws and <br /> ordinaces governing Ihis type of work will be complied with whether apecified hereln or not.The granling of a permit doas nol prosume <br /> to give Ihority to violate or cancel the provision of any other state or local law regulaling construction or lhe performance of <br /> constr c on.Th I am aulhorized by fhe owner of this property lo periorm lhe work(or which application Is made and I comply with Ihe <br /> Slalo ; tracl aw�CW and 29G.200 WAC. <br /> G Z— n`T C�S� <br /> Sign t r of wner/ ontraclor/Aulhonzod Ac�enl ate <br />