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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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM /D � 3) � D� <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT p <br /> i <br /> �j I [C i✓ �_A S�n--r� K:;� .� � �.�c��d ' <br /> LEGAL LOT NO. BLOCK TRACi OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ���1 7,. <br /> J � � � � I � (. � IlE t� ,���. /11r,,cys�•�uI y���" ! -;y .,_ �iYy <br /> ', ni l i�' ��ti'�,;}! . <br /> TENANT NAME CONTACT FOR PERMIT PHONE C'],�G) �v ��J`i� <br /> l��' �uc�ct ��It�r't� �`�' ^^ �� E�MAILSIL7AJ�- S�t-tII� 1 <br /> I�It1�L 's N�-�v sic�Ns �"" <br /> �.,ll(, lUp'Hh ST SE C4z�r)1S� •-�"'���{- <br /> CONTR.LICENSEN `,Il/ ���JC ���CI\ �i 1�')r-i-r. C�CJ��� <br /> 1"� �. 7 V �t l Q <br /> USE OF BUILDING HEAT SOURC�CONTRACT PRICE OF WORK <br /> �'Eludric Gas Olher � ��� �_ <br /> WORK UESCRIPTION ^ <br /> f �VyTn �..L. � Wi (-� Ct1AivN� L NE.�N ��Z�T�R c� IJ <br /> I�A �� wA �AC;K �-HANNEL ��-rrE RS or �1'.�,cv�t At��.�; <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FU(TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handlinc� unils <br /> Bathwb FDrced air sys�ems <br /> Lavalory(wash 6asin) _ Gas piping <br /> Shower W ater hea�er <br /> Kitchen sink 8 disposal _ Gas lireplace <br /> Dishwashcr Gasrange <br /> G� Ihes washer Clolhes dryer <br /> Water healer Rango hooA <br /> Sink(servica/badmo{��etc.) _ Exhaust lan <br /> Backllow prevoNer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigoralion <br /> Greaso trap _ Woodstovc <br /> Roof drains Other <br /> _ Other—�f(�A!-`�_---- — . <br /> CITY OF EVEREtT LOCAL SALES TAX CODE IS�105 <br /> I horeby cr.rilify thal I have read and oxaminod ihis applicalion and know Ihe same�o be lrua and correcL All provisions of laws and <br /> ordinacos qoveming ihis typo ol work will be compliod wilh wholher specilied herein or not. Tho gran�ing ol a permil does no�presume <br /> Ito yive aulhoriry to violate or cancel ihe provision of any other state or local law regulaling construction or lhe performance ol <br /> construGion. Thal I am aulhorized by lhe owner o(ihis propehp to pedorm�he work lor which applicalion is made and I wmply wilh lho <br /> Slale Contractors Law 1A.27 RCW and 296.200 WAC. <br /> . v ,.(� <br /> �/��`-- - � �1 �V <br /> �_ �— <br /> Sign e o� v�nedCon IeCtor/AUthorized Ac�enl Dale <br /> 1_ . . . . . `I� <br />