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P�RMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM g -3�D <br /> 31TFi ADDRE:SS PARCEL TA%I.D.p PERMIT k <br /> �o< f�U �'�-,,,",� �� U 'L��o`� - U(o� _ <br /> � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHqNE <br /> �/'E: Ir.I' <br /> TENANT NAME CONTACT FOR F ERMIT PHON�/C �- �-1(, _ �J i j <br /> �✓���. l�f �i � ��J I (�_)�� C5�2S�� E�h1AIL <br /> �bH <br /> �iF-/' /_ /Jr� <br /> CONTR.UCENSEJI <br /> USE OF BUILDING �, ��,' HEAT SOURCE CONTRACT PRICE OF WORK <br /> /i/�.:i n �•li.�(. 1 ��/�[:�, _Eloclric ._Gas_Othor [1�� /1(1(') <br /> WORK DESCRIPTION <br /> Cr9i�'�7ri.�i� �� /�;'jii iN;i.�i�_ , �Hi_� l`_��� 'i �7� U�)�_`,��, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> _ Balhlub ForcoA air systems <br /> __ lavatory(wash basin) Gas piping <br /> Shower Walr.r nealer <br /> ___ Kilchr.n sink 8 dis�>osal Gas�ireplaco <br /> Dishwashcr Gasranpe <br /> Clothes washor Clothes dryer <br /> Walcn c�aler Rango hooA <br /> Sink(servir.r.lbadmop/elc.) Exhausl lan <br /> �acklluw prc�v�nt�r _ Heal pump <br /> Urinal Unit hea�or <br /> Drinkinq Founlein _ Boilor <br /> Floor drain Rclrigoretion <br /> Grcaso Irap Woodslovo <br /> Rool drains O�her <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I hereby curilify Ihal I havA read and examinod�his apphca�ion and know Iho same lo bo trua and correcL All provisions ol laws end <br /> ordinaces�overniny;his�ypo ol work will be complieJ wilh wholhor spociliod heroin or noL The granting ol a pormi�does nol presume <br /> to give aulhorily to violale or cancol lhA provision ol any olhor stalo or local law regulating consWclion or the porformance of <br /> consiruction.Thal I am aulhorized by Ihe owner ol this propeAy�o pnAorm Ihe work for which applicalion is made and I�bmply wilh Ihe <br /> Stale�Conlractors Law,1R � 7 RCW nnd 29�.200 WAC. <br /> � :'_f � e � j/ �-i�� ��/ �/j�l �,� <br /> SignaWro o(OwnedConlracbrlAulhorizod Ac�ont Uale �/ <br /> ---� -- --�- --- ---_ Z_J <br />