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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 /> APPLICATIONS ARE ACCEPTF,p FROM 8 AM TO 4 PM '3 �19 �L� <br /> SI7E ADDRES� n�S/N � P RCEL TAX I.D.N PERMIT A-QI <br /> �003 �, � <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION If <br /> DESC. <br /> CWNER ADDRESS CITY2IP PHONE <br /> (s�� � N� <br /> TEYANT NAME CONTACT FOR PERMIT PHONE ZS• <br /> ISOI'�i I ('�r'T I L • E}STCM�O/ZSK� E-htaL <br /> 'a'+�.W►�EN �NDvsra�Av <br /> CONTR.410ENSE p <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> I �- Sto^-A� G�2a�'� —Electrlc _Gas_Other 97 � 000 <br /> WORK DESCRIPTION 2�F��� �r� �c'rEGC, g(J f f.���(�6 <br /> Gor�sr�v�T P <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilot _ WC-air handling unils <br /> Bathlub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Showar _ Waterheater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Clothes dryer <br /> Water hoater _ Range hood <br /> Sink(service/bar/moplatc.) _ Exhausl(an <br /> Backflow preventer _ Heat pump <br /> Urinal Unil heatar <br /> _ Drinking Fountain _ Boiler <br /> Floor drain _ Relrigeratlon <br /> Grease trap _ Woodstove <br /> Roof drains _ Other <br /> Othcr — . <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS J705 <br /> I heroby cerilily thal I have read and oxamined lhis application and know tho same to be lrue end correct. All provisions of lawe and <br /> ordinaces governing this lype of work wlll be complied wilh whether speci(ied herein or nol.The granling o1 a permit doea not presume <br /> to give aulhority to violato or cancel Ihe provision ot any other slalo or local law rogulaling construction or the performance of <br /> conslruction.Thal I am authorizod by the owner ol this properly to perform lhe work for wMch epplicalion fs made and I comply wilh lhe <br /> Slatc nlractors Law 18.3�RC�V-and'29fi.�00 WAC. <br /> l��f�%�� 3���p9 / <br /> SignaWro ol OwnedContrectorlAuthunzed Agenl Date � z <br />