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I 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 /> I APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 6 CREDIT CARD�ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.N P MI 11 <br /> � <br /> -,.:,�.� ��, � - d��� �d <br /> IEGAL LOTNO. BLOCK 7RACT <br /> DESC <br /> OWNER ADDRE55 CITY2IP PHONE y�_�Z.� <br /> � L ,-�i� l L-c;c�C)L'� Z',;�1�� �S.�b-r `�� �v�r�i'�- �k�u�i <br /> TENANt NAME CONTACT FON PERMIT PHONE <br /> J���'���c�c��� �-� ��iti���k 5v�i,�-, <br /> CONTRACTO , ADDRESS CITYIZIP PNONE ' <br /> ; lu \f f, C>C��'�rxJ 1 ��C �'�,'�\ � �,�c��« � t�'k>r�rc,�' ,'�(cU l�l� 111D <br /> CONTR.LICENSE N <br /> � 1(l��l. I" � �L��„�lll <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE Of WORK <br /> � _Eleclnc _,_ Ges __Other �I�i �'i� , U,� <br /> J — <br /> WORK DESCRIPTION I <br /> ��� �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilel A/C—air hendling unds <br /> Balhlub _ Forced eir syslems <br /> I.avalory(wash basin) ___ Ges piping <br /> Shower __ Watar healer <br /> Kilchen sink 8 disposal Gns fireplaco <br /> Dishwasher ___ � Ges range <br /> Glothas wesher __ Clolhes dryer <br /> Laundry tray __ Range hood <br /> Sink(service�badmop�elc.) _ Exhausl fan <br /> Beckflow prevenler _ Heal pump <br /> Unnal _ Unil heater <br /> Dnnking Foun�ain ___ Boiler <br /> Floor drain Refrigerelion <br /> Grease Irap Woodstove <br /> Rool drnms _ Other_____ <br /> Other <br /> CITY OF EVEREiT LOCAL SALES TA%CODE IS 7105 <br /> I heraby ceritily ihat I have read and ezamined Ihis appGcalion and know the sama lo be Irua end correct. All provisions ol laws and <br /> ordinaces goveming thls type ol work will be complied wilh whelher sper.ified harein or n�l The granling ol a peimil does nol presume <br /> lo give authorily to vwlate or cancel Ihe provlsion ol eny olher stalc or local law regulaling conslruction a the pedormence of <br />� conslruclion. Thel I am autho jiod by Ihe owner ol lhis property lo peNorm the work br which appGcation is made end I com{�y wilh the <br /> Slale Contrnclors Lew 18 RCW a�nd/2'6 00 WAC. <br /> t �-,v„�' ���I/�� ��iY�r) <br /> Sgnalur, wnor tmlr for/Aut .e �ant � l�ete <br />