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FtRMIT APPLIGATIUN <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 /> � — � ) • O �o <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.U PERMIT p <br /> � � - �> > � �f�os � a-w5 <br /> lEG LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PNONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �N���'i� Mq�%�'i��,4'�l� �/ �'a��t� I�1�Jax� �� 3�� — /�-3 <br /> CONTRACTOR ADDRESS CITY2IP PHONF� �� 2?, <br /> /`//�7' �1���^c' � ..S'c�f�� � c� JSt.v� 5�3% �r�l.�l���a G�l� p�3� � <br /> CONTR.LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> — _Eleclric _Gas._Other �O�r <br /> WORK DESCRIPTION <br /> �'�/.�' �/,c� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM Nn. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced alr systems <br /> Lavalory(wash basin) Gas piping <br /> Shower _ Water healor <br /> Kitchen sinY,8 disposal _ Gas lireplaco <br /> �ishwashnr Gas range <br /> Ci�ihes H�;^hcr Clolhes dryer <br /> Watcr heator Rango hood <br /> Sink (servic.lbar/mop�etr..) _ Exhaust lan <br /> �ackflow preventer _ Heal pump <br /> Urinal _ Unil healer <br /> Drinking Fountain _ Boilar <br /> Floor drain Relrigeralion <br /> Greasu trap _ Woodslove <br /> Rool drains Olher_ <br /> O�hor <br /> CITY OF EVERETT LUCAL SALES TA%CODE IS J105 <br /> I hereby cerilily lhat I have read and ezaminnd Ihis applir,ation and know�he same to be irue and correct. All provisions ol Is�vs and <br /> ordinaces c�ovemin9 Ihis typo ol work will bo complied wilh whothor speciliad herein or not.The granting af a permit does nol presume <br /> to yi��e authority to violate or cancel Ihe provision of any olher stalo or local law regulating construclion or the peAormance ot <br /> conslruction.That I am authorized by Iho owner of Ihis property to perform lhe work for which applicalion is made and I compl�wilh ihe <br /> Slate Conlret�lors Law 18.27 RCW and 296.200 WA . <br /> n/w N�1 "'��• ��/ �� <br /> Si�yl wi d .�Nrac orlAu i �ed A t ate <br /> � ��!J <br />