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� i — — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 — FAX 425-257-8857—wvrN.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> � <br /> ►�� as--�g <br /> SITE ADDRESS PARCEL TAX i.D.p PERMIT N <br /> �� l�-� C' 1�1�Ar:��1 ��f{"a'{. iT� �C�r��l''���,,:5�yze�- .�_� 1v`� I � -���( <br /> LFGA LOT N0. BLOCK TRACT OR SUBDIVISION N <br /> DESC <br /> OWNER ADDRESS dTY21P PHONE ( �� � <br /> �� �'1i �1�4_A 4', �11 � <br /> i r��:,i nt; 1-'l � � � l�>M�. ' >� �v�1��1� ("f� V f� ��h�,( �3 )���� j'�I ����I� <br /> TENANT NAME CONTACT FOR PEHMIT PHONE I?.� ��� � �,�,�^,� <br /> �t <br /> ��/�"l'lf ��-� ��WIY, k�_ _���N�{ f-�� ��1�.,�ITZ. E•MNL /�E�uCI'�f11�Y' C4:,M <br /> f�(�(��I C�VI�I� I�C��T�f�1 � ����'Jl�v�l '1iC:� �.��/. �,�� `�C °_�vv� �PHHOA�- <br /> CONTR.LICENSE M , � ( ��:�� ��, � ��� 4�•4 1 � <br /> n��� �rT�l�. l�l��� � ���� , � ����: ��I> �ti�o _ <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ��1`>�IJ1��.TI� �- I� ,� �� EiccVic xGas_--Other lhQj� U"l� <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM N0. TVPE OF FIXTURE OR ITEM <br /> __ 7oilet . A-C-air handling units <br /> Aathlub _ _ Forced av syslems <br /> _. Lavalory (wash basin) _ Gas piping <br /> Shower Water heater <br /> .�_ Kilchen sink 8 disposal _ � Gas lireplace <br /> D�shwasha �_ Gas range <br /> Clothes washer _ _ Clothes dryer <br /> Water heater Ranpe hood <br /> S�nk (service'bar�mop�elc) . E�haust lan <br /> Backllow preventer Heat pump <br /> Unnal _ Unit heater <br /> . _ Drinkinp Fountain __f_ Boiler <br /> Flnor drain _ . RelrigCre�ion <br /> Grease Irap _._ Woodstove <br /> Foof drains � Oiher <br /> O�her --- _-------�-- <br /> CITY OF EVERE7T LOCAL SALES TAI(CODE IS 3105 <br /> I he•eby cerilily Iha�1 have iead and examined Ihis applicalion and know Ihe same to be�iue and correcL All piovisions ol laws a�d <br /> ordmaces governing ihis type ol work w 6e comphed wilh whether specilied herein or nol The granting ol a permi�does not presume <br /> to give aulhoiily lo vio�ate or cancei t provision ol any other stale or locnl law ragulaling consiruclion o�the perlormance of <br /> constru n. That I m authorliP.d ihe owner ol Ihis p�operty lo perlorm the worh for which appl�cation is made and I comply with Ihe <br /> Slate CoP�r •w 18.27 RGW and 296200 WAC. <br /> 2 S/�✓c�����, <br /> Signatwe of r o ltraclo ulhorized genl ate <br />