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� <br /> �i2MIT APPLICATION <br /> CITY OF E'VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> r ,� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /O� 1 g'"dG <br /> SIT�SS� PARCEL TAX I.D.M PERMIT M <br /> ��,,,.,.�.-,+��; _ �.2..� ►'VLGco� - <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADORESS CITYlZIP PHONE <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> �j c7�. 1 i��lno�s�.t' `�1�� ?�8'�-��R�7 <br /> CONTRACTOR ��ti}�iy�ry��- Re,;rVl�4m„�RESS CITVlZIP PHONE <br /> tias-38�-�qqu <br /> CONTR.LICENSE M r;L' S��'(� RR�yy S(y <br /> ��\ w t� 9�Pa'� <br /> USE OF BUILDING �HEAT SOURCE CONTRACT PRICE OF WORK <br /> � <br /> , 1� �,}L��`� Eloclric _Gas_Other � S"�'�� <br /> WORK DESCRIPTION <br /> �n ���to��( c�., Cu�..a.�.r,����--r� U t1��"� � '� e�.U.�C�io.�e, Co i`S <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF fIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toile� A/C-air h2ndlinp units <br /> Balhlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Sliowor Water hoalcr <br /> Ki�r!rei,sink 8 die,�s�l _ Gas fvaplaca <br /> Dis'�wa:hor Gas rango <br /> ClrUies w�shor Clothes dryor <br /> W:�lor hr.a!m Range hood <br /> Siik (servico/badmoplelc.) _ Exhausttan <br /> B�ck(low prevenler _ Neal pump <br /> Urinal Unil heator <br /> Drinking Founl�in 'ler <br /> f loor drain Relrigeralion <br /> Groaso Irap _ Woodslove <br /> Rool drains Olhor _ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I heroLy cerilily Ihat I have read and examined Ihis applicalion and know Ihe same lo be true and correct. All provisions of laws and <br /> o�dinaces qoverning Ihis typo of work will bo complied with whethor specified horein or noL The granling of a permil does nol presume <br /> to give authurity to violata or cancel Ihe provision of any other state or local!aw regulating construcJon or the pertormance ol <br /> consiruclion. 1 hat I am aulhorized by the owrar o(this property to periorm the work lor which application is made and I comply with the <br /> Slate Con�raclors! a�v 18.27 RCW and 296.200 WAC. <br /> Signature o(OwnedContrn�tod.4ulhorizcd Agent Date <br />