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-- --- <br /> 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 /> ,� , �• APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PARCEL TAX I.D.�1 <br /> PERMIT A <br /> S�TEADDRESS t /QU)(C� .Z�O 7`CCi7C�CU �I�i <br /> -��CGS <br /> � <br /> LEGAL LOTNO BLOCK TRACT <br /> DESC �p � <br /> OWNER <br /> ADORESS CITYIZIP PNONE <br /> (�o�i� /' �P��'7m �°���rS .s��l-ll� c-�,a ���z�!— <br /> TENANTNAME (' <br /> CONTACT FOR PERMIT PHONE <br /> , �yV"""''',,,,,, ��`��, ___� — �l_�_ nJJ ( �S� y ��� �a������ — <br /> �n N" �.�+-y�— CITYILP PHONE <br /> CONTRACTO ADDRESS � 7 � / n e /� �' /� ��-�S�I' � <br /> �C_C��� ���'IYP"����GIN1{ �� /� �'T /-a !/�l/ /�i'i�� ' _" 3� � <br /> 7t <br /> CONTit.LICENSE p <br /> ���"��� y������ - CONTRACTPRICEOFWORK <br /> USE OF BUILDIN6 I HEAT SOURCE <br /> � � ��,� �� Elednc Gas Other /;t 3(%C��Lr <br /> �-s-1<Vy'—�---'—�_-- '-- '— <br /> WORK DESCRIf'TION <br /> . � �/� ''�-� ����� C� <br /> . ' ,r�v� ,..7 - Jr (. <br /> �' - MECHANICAL <br /> PLUMBING <br /> NO. TYPE OF FII(TURE OR ITEM <br /> NO. TYPE OF FIXTURE OR ITEM — <br /> -- NC—air handling units <br /> Toilet Forced av systems <br /> BathWb Gas piping <br /> �_ Lavalory(wash basin) — Water heater <br /> Shower — Gas fireplace <br /> Kikhen sinF 8 disposal Gas renge <br /> Dishwasher Cbthes dryer <br /> Clothes washer Range hood <br /> Laundry irey —� Exhaust tan <br /> � � Smk(service/badmop/etc 1 _ Heal pump <br /> Backflow preventer Umt heater <br /> Unna! Botler <br /> Drmking Fountain -- RehigeraUon <br /> Floor drain — Woodslove <br /> Greese irap Other <br /> Rooldrams / � '— <br /> � 04ier — — <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 7706 <br /> I hereby centdy Ihat I have iead and erammed this applicadon and know the same�o be irue and correct All provisions ol laws and <br /> to g vecauthor ty to Qiohalr. oP cancel he Iprovis n oll eny o'ther�state oPlocel aweregulaUngtconsU dnon o lhe perlo1rmance ot Presume <br /> consiruchon That I am authorrzed by lhe owner of this property to perlorm�he work lor wluch applicalwn is made and I comply vnth the <br /> Stete Conlractors Law 18 27 RCW and 296200 WAC <br /> Signature ol OwnedCon�ractodAuthorized Agent Dete <br /> �-----�---- <br />