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r <br /> F'ERMIT APPLICATIUN <br /> CITY OF EVERETT FERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettNa.org <br /> APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM �`-4S� �� <br /> SITE ADDRESS � ) PARCEL TAX I.D.A PERMIT# <br /> '��D L-(J � . l/1'1C (J �- l <br /> LEGAL LOT N0. BLOCK TRACT UR SUBDIVISION p <br /> oesc. <br /> OWNER ADDRESS CITYIZIP PHONE LS'�.- <br /> l� n K'� TN Uc-s i/'1�=lu '75 5/� l,� CA-S�U L I/�� <br /> TENANT NA�dE CONTACT FOR PERMIT PHONE <br /> E-MAIL ___ <br /> pc i- <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE �ONTRACT PRICE OF lYORK <br /> ��� � � (}�-� S /� �� �Eleclric _Gas_Olher �OO • OO <br /> WORK DESCRIPTION �.�� �{�q T �i�/�JPS � �+ e T' u-�o�K' <br /> �NS %�� � a � <br /> �L-�K�US 7 �A� A�sv <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FI%NRE OR ITEM <br /> Tuiiel :JC-air handling units <br /> Bathtub _� Forced alr systems <br /> L�va�ory(wash basin) _ Gas piping <br /> Showor Waler healer <br /> Kilchen sink 8 disposal _ Gas(ireplace <br /> Dishwasher Gasrange <br /> Ciothos washer Clolhes dryer <br /> Waler heater Range hood <br /> Sink(servicelbadmop/otc.) Ezhausl lan <br /> Back(low preventcr _� Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Rool drains Olher <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritify lhat I havo read and ezaminod this applicalion and know the same to be true and correct. All provislons of laws and <br /> ordinaces c�overnin�this type of work will be complied wilh whether specified herein or not.The granting ol a permit does nol presume <br /> to 9ive authoriry to violatr,or cancel lhe provision of any olher slale or local law regulating construcQon or the peAormance of <br /> co�struclion. That I am authorized by the owner ol ihis property lu perlorm Ihe wurk lor which applicalion Is made and I comply vnlh the <br /> Stale Contraclors Law 18.27 RCW and 296.200 WAC. <br /> c�.���� <br /> SignaWre o(Ownerl nlraclorlAuth zed A ent Dala '/ <br /> (L <br />