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PERMIT APPLICATIC�N <br /> CITl' OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 42:i-257-8810 — FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT# <br /> �3i8 Cc�A 5T - �zC h;�3 q8tvf �1,1p � I 'Z -c�� <br />. LEGAL LOT NO. BLO�.K TRACT OR SUBDIVISION N <br /> �ESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> I�orl �-jT,cV_; ?��i;P Ct-�>At�_ ��� Ed�i-�-ii� lJ� `�iZ�i `�LS �T�}�ia'6�� <br /> TENANT NAME CONTACT FOR PERMIT PHONF. <br /> E•MAIL <br /> CONTR.UCENSE N �Jwnq,� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WQRN <br /> Eloctric Gas Other <br /> WORK DESCRIPTION <br /> "� t�'Sl1����1�I �-11�'. L� � �r:iZ Cu�� . �`1'�. ii� ( ! i .... �.iA� � ) <br /> PLUMBING MECHANICAL <br />� N0. TYPE OF FI%TURE OR ITEM NO. TVPE OF FII(TURE OR ITEM <br /> Toilc� A/C-air handling units <br /> Balhtub Foroed air syslems <br /> Lava�ory(wash basin) �_ Gas piping <br /> Shower Waler hoator <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas rengo <br /> Clolhes washer Clothes dryor <br /> Waler heater Range hood <br /> Sink (service/bar/moplotc.) _ Exhaust(an <br />� �ack0ow prevonter _ Hea�pump <br /> Urinal Unit heatr,r <br /> Drinkinc� Fountain _ Boiler <br /> Floor drain Refrigera�ion <br /> Groasa trap Woodstove _ <br /> Roo(dralns � Other (,i�� � ��-�'�`- <br /> OUier <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> I hereby cerilify lhat I have read and examinttd ihis application and know ih�same to be lrue and correcl All provisions o(laws and <br /> ordinaces goveminc�this type ol work will be complied with whether specilied heroin or noL The granting of a permil does nol presume <br /> to give adthorily lo violate or cancel ihe provision ol a�y other slate or local law re9ula�ing construdion or lhe performanca of <br /> construclion. That I am authorized by the owner ol Ihis property to perform lhe work lor which applic alion is made and I comply wi�h lhe <br /> S�ale Conlractors Law 18.27 RCW and 296.200 WAC. <br /> '� � ��� ! �/� 1�0�� <br /> <�,- > <br /> SignaWre ol OwnedCoNraclor/Aulhorized Agenl Date <br />