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PERMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8B57 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PIA �p -O(�-D� <br /> SITE ADDRESS SU<7cF PARCEL TAX I.D.# PERMITM <br /> ' � 1 CA�.�'NO c�� �� <br /> LEGAL L0T NO. BLOCK I TRACT OR SUBDIVISION N <br /> ��ESC. <br /> OWNER ADORESS CITVIZIP PHONE <br /> _(� K� S _ L� �' �CZe_ <br /> iENANt NAME I CONTACT FOR PERMIT PHONE <br /> I E-MAIL <br /> f� C L C`U S j'� 7C66Rti'S�- <br /> CONTR.L�CENSEN PCZ (�LL. �- O` ,j �' � ��ZI ` IO <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF V�ORK <br /> R1cx.re�iv GQ�, �'� �Eloctric _Gas_Olher � �QUU� On <br /> � � -- <br /> WORK DESCRIPTION <br /> 1'�v _S 7.4// /f�k T PU✓�J/� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> Toilel � /VC-air handling uni�s <br /> �athwb _ Forced air syslems <br /> Lavalory(wash basio) Gas piping <br /> Shower Water healer <br /> Kilchen sink 8 dispnsal Gas firepla^e <br /> Dishwashcr Gasrango <br /> Clothes washer Clothes dryer <br /> Water heeter Rango hood <br /> __ Sink (sorvice/badmoplcic.) Exhausl fan <br /> _ �ackflow prevoNer � Heat pump <br /> Urin�l Unil healer <br /> Drinkinq Fountain Boiler <br /> Floor drain Relrigeration <br /> Grnase irap Woodstove <br /> Roof dreins Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritily thal I havo read and examined lhis application and know Iho same to be lrue and corract. All provisions oi laws and <br /> orAinaces goveming thls type of work wdl be complied riith whelher specified herein or noL The granting ot a permi�does nol piesume <br /> lo give aulhori'y�o viulate or cancel ihe provision of any olher state or local law rogulali�g conslruclion or Ihe pedoimance of <br /> construction. That I am a�'harizrd by the ov:ner of this properly lo pertorm the work for which application is made and I comply with Ihe <br /> State Convaclors Law 1" 2'RCW and 29�2UO WAC. <br /> Signalure of OwnenConirac�odAulhorizr,d A9ent Date <br />