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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 8 AM TO 4 PM <br /> SITE ADDRESS PARCEI TAX I.D.p PER T It <br /> L3 2z c.E� ss (�/�•�'DZ <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> '�PI O'� Z�►� Z3ZZ �E�'e_ E1.�'v.�t 2�5 6go 69 <br /> TENANT NAME i CONTACT FOR PERMIT PHONE <br /> 'P 1 O'r'2. 'Z 1 v�� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> ��Or2 Z�� 23ZZ C,cn�sL a�um,ess 2�5 64c 6a�5 <br /> CONTR.LICENSE M <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> HQYM E _Eloctric __Gas_Olhor <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> X Tollel � A/C—air handling unCo <br /> � Bathtub � Forced alr systoms <br /> _� Lavatory(wasli basin) � Gas piping <br /> �_ ShoH•er6C Wator healer <br /> �_ Ki�chen sink&disposal � Gas fireplace <br /> X Dishwasher� Gas range <br /> y Clolhes washer � Clolhes dryer <br /> —� W aler heat�r 1 Range hood <br /> Sink(service/badmopletc.) Ezhaust lan <br /> Backflow prevonter Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Rool drains Other _ <br /> Other ____ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I heroby ceritily lhal I havo read and examinod this application and know the same to be lrue and correct. All provisions of laws and <br /> ordinaces governing Ilils�ype of work will be complied with whelher specifed herein or not.The granling of e permil does not presume <br /> lo give authority to violale or cancel the provision of any other state or local law regulaliny construction or lhe perfortnance ot <br /> canslruction.That 1 am authorized by the owner of thls property lo periortn Ihe work(or which application Ia made and I comply wllh the <br /> Stale Contractors Law 1827 RCW and 29fi.200 WAC. <br /> �.� � GL•I� o z�� � <br /> Signaturo of Owner/Conlrac or u orized Agenl —Gate <br />