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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 ApD�Z PARCEL TAX I.D.# PERMIT# <br /> ` t"J _ n�� 2,xay �9ovo .��1�7�� --(��> <br /> LEGAL LOT N0. BLOCK TRACT OR S BDIVISION f1 <br /> DESC, <br /> OWNER � �,�,� ��' ��� U,�/ A�f�ESS CITV/21P PHONE �y7�� <br /> � '/!� I � 0I ' a �2- <br /> .� GZ� �� <SSG �7 t'�PLM J-�-/�J. �J �,)� 2Sz-o Co�L�,,-S�– F_�rc,..�� �.`/�Zs Gc-, <br /> TENANT NAME CONTACT FOR PERMIT PHONEU Zr��301�j77�2 <br /> �d�di..�t"� rC.Nn •�� )� �� �1CCN'tlJ� .1—�/D�"7 E-MAIL 11VOr]C ��n�[..� �`�.1,!'.. <br /> t°auf��raR —�ba�—�—�trvr�— � o.� <br /> CONTR. LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �-�'(�yk( I¢.� 5 � (.�C� — _Eleclric �as_Olher — ( <br /> WORK DESCRIPTION lJ ���� /' �/� <br /> �C.! ��'T� <br /> PLUMBING MECHANICAL <br /> NO. TVPE O�FI%TURE OR ITEM NO. � TYPE OF FI%TURE OR ITEM h <br /> � <br /> Toilet FUC- air handling uni�s .� <br /> 6athlub _ ForceA air syslems �� w <br /> Lavatory(wash 6asin) __ Gas pipinc� � <br /> Shower Watr.r heater �� v � � <br /> Kitchen sink 8 disposal _ 3as fireplacA r� �y <br /> _ Dishwashor �3as range '�. , � �z' <br /> C�olhes washer _ Clothes dryor � ' •� <br /> Waler healer F;ange hood \ ' <br /> _ Sink(service/barlmop,alc.) Exhausl fan / � .�� <br /> _ Backflow prevonler _ Heat pump � , ,, �" <br /> Urinal Uiif hoator �� � <br /> Drinking FouMaln Boller <br /> Floor drein Refrigoration <br /> Greas3 Irap Wt�odslove <br /> Roo�Arains 011�er <br /> Olher _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I herr.by cerilify�hal I have read and examinod lhis applica�ion and know the samo lo te true and correcl All provisions ol laws and <br /> ordinacr,s govemine� �his lype ol work will bo complied wilh whelher spocilied herein or nol.The granting of a permil does not presume <br /> tu give aulhority�o violate or cancel Ihe provisior�of any other slato or local law reyulating construction or the performance of <br /> construclion. Thal I am authorized by the owner of Ihis property te pednrm the v;ork for which application is made and I comply wilh the <br /> Stale ontraclors Law 18.27 RCW and 29G.200 WAC. <br /> � lD I � <br /> alure of Owner/ onlraclor/Au�ho � Agent Date <br /> � Yz <br />