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\ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> ,/� � t4PPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM 3 „� � <br /> SITE ADDRESS a* ' PARCEL TAX I.D.K PERMIT R <br /> 3a�3 w� Cl�Si�n i'LD .Ck� <br /> LEGA LOT NO. BLOCN TRACT OR SUBDIVISION N <br /> DESC. <br /> pyy p DR S I M <br /> ��i �N�? <br /> TENANTNAME CONTACTFORPERMR PHONE !�� ' — <br /> (3oEc r�G L , (�sTc�'rr� !3o/l.sk� <br /> E�ANL <br /> �µL a�LE►� /NDr/S'��I f}L� <br /> CONTR.LICENSE N <br /> USE OF 6UILDING I I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> W��K ��T E�'��� Electric _Gea Other 2�� �Q� <br /> WORK DESCRIPTION <br /> 2�c,a�n-� Rc,�� F�n,o,h sfi��� ��- 'ro sT� �� <br /> PLUMBING MECHANICAL <br /> N0. TYPE Of FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handlinp units <br /> Balhlub Forced elr sysleme <br /> Lavalory(wash basin) _ Gea piping <br /> Shower W eler heater <br /> Kilchen sink 8 disposal _ Gas Iireplece <br /> Diehwasher Gas range <br /> Clothes washar _ Clothea dryer <br /> Water heater Range hood <br /> Sink(servlce/bar/mop�etc.) _ Exheust(an <br /> Ber,kflow prevenler __ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boller <br /> Ftoor drain RefAgeratlon <br /> Grease trap _ Woodstove <br /> Roof drains Olher <br /> Olher — — , <br /> CITY OF EVERETT LOCAL SALES TAX CODE 18 3105 <br /> I hareby ceritify lhat 1 have read end examined this eppllcetion and know lhe seme to be true end correct. All provlsiona ol lawa end <br /> ordinaces governing Ihls type ol work wlll be complied wllh whether specified herein or not.The prenGnp ot e permit does not presume <br /> to pive authorily to violate ar cancel the provlsion ol any other state or local law rogulating conetruction or the peAormance ol <br /> conslruclion. Thal I em authorized by lhe ownor ol lhls property to perform Iho work for which epplicebcn ia mede end I comply wilh Ihe <br /> 9tatgConlraclors Law 1��W e d 6.200 WAC. <br /> 1,t�p-1��1v'77 �'ic 3����'9 <br /> ggnature ol Owner/ onlrecfor/Authorized Agent ete <br /> l <br />