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. <br /> NERMIT APPLICATIC�N <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERET f, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everetlwa.org <br /> APPL�ATIOp�S ARE ACCEPTED FROM 8 AM TO I PM <br /> SITE ADDRESS � " '' ' ` '� � PARCEL TAX I.D.N P R T N <br /> - oo c�� ca-s���� r� ,���1 �� <br /> LE�A LOT NO. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �oLl r��� — <br /> TENANT NAME C TACT FOR PERMIT PHONE � �Zr <br /> ))) ,,�,, ,,1/ 1nnvl �ZJ• �J ��I�I <br /> �CiS��f�RA�ib. t� �I� � �7b 2 s k-� �Aa� <br /> �— <br /> /�o�-�l^'G <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE I CONI RACT PRICE OF WORK <br /> (,�JJA�C. 5�{-p FJS _Elnclric _Gas_Olher �� C Od <br /> WORK DESCRIPTION <br /> /N`,r/i-LC� p�-c,��7r ✓L�-Gk- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilot _ A/C—airhandlingunits <br /> Balhtub Porced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kitchen sink 8 disposal _ Gas lireplace <br /> Dishwashor Gasrange <br /> Clolhes washer Clolhns dryer <br /> Wator hoalor Ranye hood <br /> Sink(service/bar/mop/atc.) Exhausl(an <br /> Backflow prevonter _ Heat pump <br /> Urinal Unil heator <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeralion <br /> Grease�rap _ Woodslove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 7105 <br /> I heroby coritify Ihal I have read and examined this applicalion and know lhe same to be lrue and cortect. All provislons of laws and <br /> ordinaces�overning Ihis type o(work�vill bo complied with whether spocifiod herein or not.The granting o(a pettnit does not presume <br /> lo givo aulhority to violate or cancel th�provision of any other state or local law re.�ulaling constructlon ar the periormance oi <br /> construction. That I am authorizad by thc owner of lhis property to perlorm the work tor wlilch application is made and I comply wilh lhe <br /> Stat Co�Law�tB.�R W�dd 296.200 WAC�/�� <br /> / //7 <br /> ! 1'�C <br /> Signature ot OwnedContractor/Aulhorized Agent Date �l y <br /> � <br />