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PERMIT 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 y vU �d� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 60�QD')�O�j/ <br /> I SITE ADDRESS �u' I PARCEL TAX I.D.N PF�RM T A <br /> `jp03 LU � CR 3 /i✓G K-�' J_ ��I <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> (�u� 1 N� <br /> TENANT NAME / CONI'ACT FOR PERMIT P ONE <br /> �����(. �r���2�� �Z.��`�MAIL��� <br /> �G �v/ElC.C..lA�/ <br /> CON R.LI ENSE k I <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ��� od� <br /> (n/A-5�. �� Eleciric _,_Gas_Olher <br /> WORK DESCRIPTION <br /> ��A-�a✓S M 9�TE 2�a-c_ $(f�j�. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUR[OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel NC-air handling units <br /> Balhtub _ Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Waler hoator <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clolhes washer __ Clolhes dryer <br /> Watm hcater _ Range hood <br /> Sink(scrvicolbadmup�elc.) _ Exhaust fan <br /> Backllow prevontcr __ Hoal pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Doiler <br /> Floor drain _ Rohigeration <br /> Grease Irap _ Woodstove <br /> Rool drains _ Othor <br /> --- Olher-- -__--- -- — <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7105 <br /> I herohy corili(y Ihat I have read and ezamined this applicalion and know tho same lo be true and correcl. All pmvisions o(laws and <br /> ordinaces�overning Ihis type of wurh will be complied wilh whelher spocilied herein or nol The granling of a permil doos no�presume <br /> to giv�aulhoriry to viol,atr.or cancel lhe provision of any other slale or local law regulaling construc�ion or�he podormance ol <br /> c.onsVuc�ion. Thai I am au�horizud by�he owner of this property lo periorm Iho work lor which application is maAe and I comply wilh Ihe <br /> Slate idrac�ors Law 1 . 7 CW ai 296.200 WAC. <br /> � S�9nalurr�Contracln�ed A9anl - � O�atc I <br /> ; /a <br /> � _ -- ---- ---- <br />