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{ <br /> PEF2MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS � , PARCEL TAX I.D.p PERMIT q <br /> � �� Gt. , 7�Z.—� <br /> LEGA LOT NO. BLOCN TRACT <br /> DESC. _ <br /> OWNE ADDRESS CITY2IP PHONE <br /> '_�—�/� <br /> �_,��v� A��N �'FcL�,N�I �;��,�l�l�:,�N�< r�`� ����Erl �'��.�-3� :�� <br /> TENANT NAME I CONTACi FOR PERMIT PHONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE N C`�GU/�'�`� <br /> USE OF BUILDINO — HEAT SOURCE I CO�'�RACT PRICE OF WORK <br /> Eloctric Gas Olher <br /> WORK DESCRIPTION <br /> �r��; <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Tailet A/C-air handNng units <br /> _ Bathlub Forced alr eystems <br /> _ Lavatory(wash basln) Gas piping <br /> Shower Water haaler <br /> _ Kilchen sink 8 disposal Gas flroplaco <br /> _ Dlshwasher Gas rango <br /> _ Clolhes washor Clolhes dryer <br /> _ Walor hnater Range houd <br /> __ Sink(service/bar/mop/otc.) Ezhaust fan <br /> _ BackOow prevonter Heatpump <br /> Urinal UNt heater <br /> Drinking Fountaln Boller <br /> _ Floor drain Refrigerallon <br /> Graase trap Woodstove <br /> Roof drains Olher <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�tOS <br /> I hereby ceriti(y that I have read and examined Ihls application end know!he same lo be lrue and correct. All provis�one of lews end <br /> ordinaces goveming lhis type o1 work will be complied wilh whelher speclfied hereln or rwt.The pranting ot e permlt doea not presume <br /> lo give authorily lo violate or cancel the provislon of any olher alate or local law regulaUnp construcUon or the performence of <br /> conslruction. That I am authorized by lhe owner ol lhis property lo peAorm Iha work for which appllcaUon Is made and 1 camply with Ihe <br /> Stalo Conlractors Law 18.27 RCW and 296200 WAC. <br /> Signaturo of Owner/Contractor/Authorized gent Date <br />