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PE'�.MIT APPLICATIOI. <br /> CITY OF EVERETT PERMIT SERVICES <br /> 'i200 CEDAR STREET, EVERETT, WA 98201 <br /> ( 425-257-8810—FAX 425-257-8857—www.everettwa.org r1`I � '�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITEADDRESS ,j(��(�)�5-�_�> � ���� I ��� � P LTAX1�.g. PERMITp <br /> C.�C �'l {,� _y� ��.� �(,�•r)�(,X. )�1�.� (��, � < <- �, <br /> IEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PFIONE <br /> �Lc_' � 1i-��,r�iy� � �� c��i < <(� '�c�C� c1 � `�(�� c'ti � i � �-, �1�1��'� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> , �r � I <br /> � � � �� � -: Di� � �l� C . � <br /> � , �i� � l I ', D �,�, � �,��1< � �t �i �� C � , _ <br /> CONTRACTOR 1� (aC ,l��`'��, ��� ADDRESS i2� l zI1C� I OIT`f21P PHONE���. �Jf��� <br /> � � <br /> CONTR.UCENSE N ``C , (� , �r 1 (�� 1 �l` I ` `��\��� �l�u�) <br /> l \,t l l � <br /> USE OF BUILDING HE/�7 SO RCE CONTRACT PRICE OF WORK <br /> ' (1 y�Elect��Gas Olher � ;��� , � 1 1 � <br /> WORK E C�PTION����y� � � `� <br /> <�����r� � � � �� ��,��� , �C� �tr �! 1 `��1� �, � � �'1i��r '";�nr� � <br /> � c�vi�'� � '.� \���( �_ 1 ����> ��l'�t��11�'i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTUHE OR ITEM <br /> Toilet _ A/C-air handling units <br /> Bathlub _ Forccd air systems <br /> Lavatory(wash basin) _ Gas pipinc� <br /> Shower Walor hea�er <br /> �_ Kitchen sink 8 disposal _ Gas firoplace <br /> Dishwasher _ Gas rango <br /> Clolhos washer _ Clolhes dryor <br /> Laundry tray _ Range hood <br /> �_ Sink (service/badmop/etr,.) _ ExhausUan <br /> J__ BackOow preventor _ Heal pump <br /> Urinal __ Unilheater <br /> Drinking Founlain _ Doilor <br /> Floor drain Rolrigeration <br /> Greaso trap _ Woodstove <br /> Rool�+�^i�� Olher <br /> — - Olh� r_� ._ _ . — <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS]105 <br /> I horeby corilily that I have road and examined ihis app:icalion and know Ihe samo to ba Irue and covecl. All pmvislons of laws and <br /> ordinacos goveming this type of work will bo complied with whether specifiad herein or nol The granling ol a permit does not presume <br /> to givo authority lo violato or cancol Iho provision ol any othar state or local law regulaling construclion or Ihe peRormanca of <br /> � -truclion.That I am aulhorized by tho owner of this p�operty to perlorm tho work for which applicalion Is mado and I wmply wilh lhe <br /> .i Contraclors Law 18.27 RCW and 296.200 WAC. <br /> SignaWre o wnod ontraclor/Authonzed Agenl ato <br />