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PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ( 425-257-8810- FAX 425-257-8857 - www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CAROS ARE NOT ACCEPTED <br /> SI7E ADDRESS f'ARCEL TAX I.D.A PERMIT N <br /> ,��.l.�� h 6N, (�n���i �r, R�:I 1��� „ � � � �� � � � , �r �r � i 1 _(0//- c�,��,. <br /> LEGAL LOTNO. BLOCN ThAf.T <br /> DESC � <br /> l l � l�.' r � { <br /> OWNER AODRESS CITY2IP PHONE <br /> � ��� ' �� �� � ��t'1 ( ` {/1{ �( 1 bII' ! ' � !i -{ ,�( I�. 1 � i � � ( � ' ��'-1,)I '��l', `�l (, �Ll, ( <br /> TENANTNAME CONTACTFOR PERMIT PHONE <br /> u' i� u) ��il [ `/ t� � ' �.L4�1(� ' � , � � `i � I11'� ��� i �, � � � � � — <br /> CONTRACTOR i ��' I I 1 ! I� I' a I 1 � �l,� ADDRESS ��I �� ;�' � � �� A� CITY2IP �� ,, �� PHONE i � � � �i <br /> � i 1 <br /> CONTR.LICENSEN ��'�� �� 1 <br /> I tl 1��t�'I '\!� I 1 ( � � f'�� <br /> USE OF BUILDING HEAT SUURCE CONiRACT PRICE OF WORK <br /> �� I �il � 1� 1 � I�� �� _Lleclric �Gas_Othor � ��' I � .� ! � ( , " <br /> WORK DESCRIPTION <br /> � � I � � I� I i . � ,� , � � � . , � I I�i � � I i( � � � � tli�i { �;�i ��i i � . I �. r i , I I 1 � � , <br /> ,, , � � �l � � � I 1 �' � <br /> �� � � � � � �� � � . . . � �I � �1 I� i 1 /�� � 1 ( �1 ..J l � ' 1 i i� � �, 1� I I . � 1� � .' �� � �i I � . �1�.' � .�. , <br /> �i '..� I ; i � f <br /> I PLUMBING MECHANICAL <br /> I HO. TVPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM — <br /> I ___ Toilel ___ 11iC-air handhny unds <br /> OathWb Forced av systems <br /> ._ Lavalory(wash basin) Gas piping <br /> -- Showar Water heate� <br /> _ Kitchen sink 8 disposal Gas Iveplaco <br /> Dishwasher _ Gasrango <br /> ___ CloOies washr.r _ Clothes dryer <br /> __ Laundry tray Range hood <br /> __ Sink (service!bar/mop�etc.) Eahaust fan <br /> _._ Backflow preventer Hea�pump <br /> Urinal Und heater <br /> Drinking Founlain Bailer I <br /> � _ Floor drain Relrigeralion <br /> I . _ _ Greasc irap Woodstova <br /> I _ _� Rool drains-- — —_ �_ Other ,. i, �,� l,� � I . �, , ,�, I,i � 1 <br /> Olher _ y�__ <br /> I -- --�- - - _.__. . ___. _ � <br /> I _ CITY OF EVERETT LOCAL SALES TA7(CODE IS 7105 __ <br /> I I�ereby cenidy Ilvd I have�oad an4 e.amineA Ihis applicati�n and Anow ihe same lo be irur, and correcl. All provisions of laws and <br /> IorAinaces goveminy Ihis typo ol work will ba complied wdh whether specilictl herein or noL The granting ol a pemiit does nol presume <br /> lu give aulhority lo viotate or cancel Ihe provision ol any o0�er slale oi local la�e rec�ulalinp cons�rudion or lho pa�formanr,n ul <br /> �� '�uclion. Th;d I nm authnriTeA b��the rnvncr nf Ihis prot�erty to perlonn Ihe H�ork for whir.h applicaliun�s ma::e and I cnmply with Ihn <br /> CunhecWrs Law IB.2i RC14 :ind 1Uti.70U WAC � <br /> � I �, � ) � � �, , II ��3 L E• � <br /> � ��qnaiure ol Owncr�CoHtr'�clur.Aulhcn:ed�genl I ' D•d�e � <br /> I t <br />