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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.everettwa.org <br /> APPLIC TIONS ARE ACCEPTED FROM B AM TO 4 PM ��.1/�-�� <br /> SITE ADDRESS _SJ�f �-�--`' "� �- `"� � PARCEL TAX I.D.# PERI�Ij�, 1t � <br /> „ / �/ -.72 <br /> �?� (ti� C��l���� ��� <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER <br /> ADDRESS CITYIZIP PHONE <br /> ���I �L� PHON <br /> TENANTNAME C NTACTFORPERMIT ^ f Fi-i_�_-23 �� <br /> � � < ��S 1r� <br /> �l��l �C �'rC:��11I�n/��X I E.MAIL <br /> I <br /> ��,a-2� MC2U�o c-�'���7' <br /> CONTR.LICE E M <br /> USE OF BUILOING <br /> HEAT SOURCE CONTRACT PRICE OF WORK <br /> �����E- ��� �Gr�C�l _Eloctric ___Gas_.Olher /C� ���o _ <br /> WORK DESCRIPTION <br /> �7����LnUc/S �'il)'T�RI/�'l� 5�'L�17 <br /> — PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURC OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> -- AIC-air handling units <br /> Toilet Forced air systems <br /> Balhtub Gas piping <br /> _ Lavalory(wash basin) — yya�er heater <br /> _ Shower Gas fireplaco <br /> Kilchon s�nk 8 disposal Gas range <br /> D�SIIW.�ShCf Clolhes dryer <br /> Clothes washer Rango hood <br /> Watcr heal�r Ezhausl(an <br /> _ Sink (servicc�barlmoplc�c.) Heal pump <br /> Dackflow preventer Unil heater <br /> Urinal goilor <br /> Drinking Foun�ain Refrigeralion <br /> Roor drain Woodslove <br /> Greasolrap Othar , <br /> Roof diains — <br /> Olher ___-- — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby coritily Ihal I havo read and eaamined this application and know the samo to be lruo and correcL All provisions of laws and <br /> ordinar.es c�oveminc�Ihis�ype ol work will be cumplied wilh whether speciliod horein or nol.The granting ol a parmit does not presume <br /> lo givr:aulhority to violate or cancc!I Ihe provisiun of any other slato or local law re9ulaling conslruc�ion or Ihe podormance o� <br /> cons;ruction. Thal I am autl rized by the owner uf ihis property lo pertorm tho work(or which applicalion is made and t comply wilh lhe <br /> Stale oniraclors Law 1II,Q�f�W�n�1^29�200 WAC. �� <br /> I .�� ,��i1 n <br /> �� -n.,-� l'i, �G.✓` h / � <br /> �` Date <br /> I Signalure ol OwnerlConlraclorl�uthorized Agent 2 <br /> � <br /> �L . . . -- . . . _ _. _ _.----- --------- <br />