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PcRIVIIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8B10 - FAX 425-257-8857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT p <br /> i� c �. � `� ' ob � oa 1� : , / .-2 <br /> LEGAL LOTNO. BLOCK TRACT I 1y. �1� C ��f-- <br /> OESC. ��oZ� r1 VZ1� � (lC.CII I IDY� �'o (�l�C� Ye1 L <br /> OWNER ADDRESS GIN/ZIP PHONE ZS <br /> 5� G ,���.eti��P I 5l o C.I�i.e,o�n� ��x. ���� 1 a 5�a 3'{� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> __ S�nG� ll uaS���3H� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��� � _Eleclric . V Gas__Other �DZIJn <br /> � <br /> W�RK DESCR TION <br /> I"e�,o�e, o-��z� rc-rlo�c.e e-wst� �1� �ti��-�e., . <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR I1EM <br /> Toilel FUC—air hanAlinc�units <br /> �a1hWb Forcod air sys�ems <br /> Lavalory(wash basin) �_�_ Gas piping <br /> Shower Water healer <br /> Kilchen sink 8 disposal _ Gas(ireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Walon c�alcr Rango hood <br /> Sink (servir,elbadmoplelc.) _ Exhausl lan <br /> Dackflow prevenler _ Heal pinnp <br />� Urinal Unll healer <br />� Drinkin�Fountain _ Boiler <br /> Floor drain Rofrigeralion <br /> Gmase trap _ WooAs�ovr, I <br /> Roof drains Othcr <br /> Other <br /> CITY OF EVEREIT LOCAL SAI.ES TA%CODE IS 9105 <br /> I heraby ceritily Ihal I have read and exnmined Ihis application and know Iho samo lo be�rue and corr�ct. All provisions o(iaws and <br /> ordinacos yovnrniny this typo ol work will bo complied wilh wholhor speci�iod horoin or noL The granling ol a permi�doos no�presume <br /> lo qive au�hority to violato or canr.el tho prcvision of any othor state or local law regula�ing wnslruclion or lhe perlormance ol <br /> conslruction.Thal l am aulho ized by Iho owner ol ihis property lo perform Iho work(or which application is made and I comply wilh Ihe <br /> Slate Conlraclors Law� CW and 2�Jfi.200 WAC. <br /> i-/O -U(, <br /> Signa ro of OwnerlC niraclodAuthorized Agonl Da�e <br />