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PtRMIT 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 /> 33G I APPLICATIONS ARE ACCEPTED FROM B AM TO 1 PM �,.� �b <br /> SITE ADORESS PARCEL TAX I.D.M PERMIT� <br /> � C`'e�d'E'/1 .S�` I�o�O�-vi5 <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS CITY2IP PHONE <br /> 3// ��) <br /> TENANT N I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR��e Q���f io� f. ADDRE55 CITY2IP PHONE <br /> P�u�a„� <br /> CONTR.LICENSE M <br /> �l��c�� ,�uD�n/'� 1_ 7 c _ <br /> USE OF BUILDING I — NEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Olher <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> � Toilot A/C—air handling unils <br /> BathWb Forced eir syslems <br /> = Lavatory(wash basin) Gas piping <br /> Shower Z Water hoaler <br /> Kitchen sink 8 disposal _ Gas flreplace <br /> Dishwasher Gasrange <br /> Cbthes washer Clolhes dryar <br /> Wator healar Range hood <br /> Sink�sorvico/bar/moplotc.) _ Exhausl(an <br /> Backllow preventer _ Heat pump <br /> Urinal Unit hoater <br /> Drinking Fountaln Boiler <br /> Floor drain Relrigeralion <br /> Grease trap _ Woodstove <br /> Roof drains K��� _ Other <br /> _L Olhor 6.� /�4�>iit .� 1 _ <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I heroby ceritily Ihat I have read and examined lhis application and know the same to be Irue and correcL All provlsions of laws end <br /> ordinaces c�overning this lype of work will be compliod with whelher specified herain or nol.The granling ot e permlt does not presume <br /> to give aulhority to violalo or cancol the provislon of any other slale or local law regulaling construcllon or the peAormance o( <br /> construction.Thal I am aulhorizad by the owr.er ol this property to perform the work(or whlch applicalion Is made end I comply with Ihe <br /> Stale ConlraG�orsl.aw 1 7 RCW and 296.200 WAC. <br /> `����� Dd <br /> Signalure of Ownor ConlraclorlAulhonzed Agent Date <br />