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PERMIT APPLICATIdN �r <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> SITE ADDR SS PARCFL TAX I.D.N PERMIT A <br /> � �l� C� so,�� - �zu <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> ER ADDRESS CITYIZIP PHONE L!2 <br /> `� l� /G7G �p � l C�/ �' � �/f��',G <br /> TENANT NAME d_� CQj1TAC7 FOR PERMIT P NE QP"GS�� <br /> �� - cir ///� /�)� /�Jr�� �Q pP �,Jzs-� / / <br /> � /'�UIH/ArYf � ', //"Kl�l�/� !.l�l/� ��E�WaJLz1s- �.s—%.1/(p <br /> CONTR.�ICEN9E N <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��` �����f��� __Eloctric�Gas__Olhor �( G iYi4 r <br /> .7T V <br /> WORK DESCRIPTION <br /> �� <br /> ( � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TVPE OF FI%TURE OR tTEM <br /> Tollol FUC-air handling units <br /> Bathtub Forced alr systems <br /> Lavatory(wash'�asin) Gas piping <br /> Shower Water heater <br /> Kilchon sink 8 disposal Gas lireplace <br /> Dishwasher Gasrange <br /> Clolhes washor Clolhes dryer <br /> Watar hoaler Range hood <br /> Sink (sarvice/badmoplatc.) Exhausl fan <br /> Backflow prevonter Heal pump <br /> Urinal Unit heater <br /> Dnnking Fountain _ Boller <br /> Floor drain Refrlgeralion <br /> Grease trap Woodslove <br /> Rool drains Other <br /> Othor <br /> CITY OF EVERETT LOCAL SALES TAX CODE 19 7705 <br /> I horaby ceritify Ihal I have road and oxamined Ihis applicalion and know Ihe same to be Irue and corroct. All provisions of laws and <br /> ordinaces governing this lype ol work will be complied wilh whelher speclfied herein or not.The granling ol a permil does nol presume <br /> lo givo aulhorily lo violale or cancol the provislon of any olher state or local law repulaling consWction or the peAortnance ot <br /> conslructyn_That am authorizod by Ihe ownor ol this proparly lo perlorm tho work lor which applicalion is made end I wmply wllh lhe <br /> Stalo onlraclors La 18.27 RCW and 296.200 WAC. <br /> G- - , ,�S !S�C-� <br /> �"_-�� <br /> Signature of OwnedContractorlAuthonzod Agont Data � <br /> 2 <br />