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P`RMIT APPLICATII�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.ever=ttwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ACDRESS ' �� PARCEL TAX I.O.N PF�RMIT q <br /> .-,�03 W CFr;,��o /� _ � C�// -D�/ <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADURESS CITYIZIP PHONE <br /> �S� � NG <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> (3��� r�<_ �;�, y����� g�ti -�s�y <br /> COr,z N%o�N y ���/��S/�Y—U C�I��DDRESS CITY2IP PHONE <br /> co�IR.UCENSEp <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��.D��C" �jf! �G� L'� _Eledric _Gas_Other �,5����Q� <br /> WORK DESCRIPTION /� /� <br /> �0��� � G7l`il/E'l1-T ��-� ��ll'� .��N�� lN� � (7�"il�+� <br /> �'=�=- i G� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilcl A�G—air handling unils <br /> Bathlub Forced air systems <br /> Lavalory(wash I�asin) _ Gas pipiny <br /> Shower Waler hoa�er <br /> Kilchen sink&disposal _ Gas tireplaco <br /> Dishwasher Gas ranc�e <br /> Clothes washer Clolhes dryer <br /> Wator healcr Ranc�e hood <br /> _ Sink�serviceNarlmopletc.) _ Fxhaustfan <br /> Backflow prevenler _ Hoal pump <br /> Urinal Unil healer <br /> _ Drinkin� Fuuntain _ Boilar <br /> Floor drain _ Ro(ric�eralion <br /> Groaso lrap N'oodstove <br /> Roof dr2ins Olher_ <br /> Olhor <br /> CITY OF EVERETT LOCAL SALES TA%COOE IS 7705 <br /> I hereby ceritily Ihal I have reaA and uxamined ihis applicalion and know ihn same lo be lrue and corcect. All provisious ol laws and <br /> ordinaces�ovemin� Ihis type of work will b�complied with whether spociiiod horein or not.The granting ol a permit does nol prosume <br /> to give aulhorily to viola�e or r.ancol ihy provision of any olher s�ate or local law regulaling consiruc��on or Ihe performance ol <br /> construclion. Thal I�m aulhorized by Iho�owner of Ihis property to pr.rl m Ihe work for which applica�ion is made and I comply wilh the <br /> Ste .Conlractors Law 1 7 CW d 79G.200 WAC. <br /> / '1 ii'� �� �� � C�L <br /> ,.�:-,T: ., r- <br /> gnaWre of OwnedContraclodAulhorized Agenl Date �/ <br /> Z <br />