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P�RMIT APPLICATIOnI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET'f, WA 98201 <br /> 425-257-8810— FAX 4�5-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.p P MIT 8 � <br /> Zl2 <-���,i sT 005`Ibyy�l�Ozloo �� -oo� <br /> LEGAL LOpT NO. BLOCK TRACT OR SUBDIVISION M <br /> DESC. ZIQr Z.': yy�_v-oa rn ts`7�a /1'0/� B�if _ <br /> Q NER ADDRESS J CITVIZIP PHONE <br /> / � <br /> ,� t �ia,��j'7 � ��� C �l «.� ST Yd'-r.--��wn. ���7 7��z� <br /> TENANT�iAME � � CONTA�7 FOR PERMIT PHONE <br /> ��_ ��� ��J E�MAIL <br /> CONTR�7 /CEN� <br /> USE OF BUILDING HEAT£OURCE CONTRACT PRICE OF WORK <br /> i , <br /> r� '� �=� Ficr,tric Gas Olher ' � <br /> —�i�r . li — — llix'f�— _����1� <br /> WORK DESCl. "iiON <br /> "�"J Y � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilcl _ A/C-air hr Jling units <br /> Balhlul� Forced air systems <br /> � Lava�ory(wash basin) Gas piping <br /> Shower Water healor <br /> � Kitchen sink 8 Aisposal Gas fireplace <br /> Dishwasher Gas rango <br /> Clolhes washer Clothes dryer <br /> Weler healer Ranye hood "��� ' <br /> Sink(service/badmopletc.) � Exhausl lan " <br /> Backflow preventer - __ Heat pump <br /> Urinal ')�� Unitheater <br /> _ Drinking Founlain Doiler <br /> Floor drain Relrigeration <br /> Groase Irap Woodslova <br /> Roo(drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE 19 7105 <br /> I hereby ceritity Ihat I have read and examined this application and know Ihe same to be true and corracl All provisions of laws and <br /> ordinaces c�overning ihis rype of work will be complied with whether specified herein or noL The granling of a permil does nol presume <br /> to�ive aulhority lo violate ur cancel ihe provision o(any other stale or local law regulaling conslruction or lhe peAormance o( <br /> construction. That I am authoriz d by Iho ownor of this property lo perlorm Ihe work for which applicalion is made and 1 wmply wilh Ihe <br /> St�teLonlr Law 1A. 7�W en 296.200 W�C. <br /> �_ `��, -� <br /> ( � i" �� /—��- / � �.�/' / <br /> iynaturo of Own /or/Aulhorized Agenl Oate 1�2 <br /> ---._-_----_ ......-- - � ------------�-- � <br /> -- — — <br />