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F�ERMIT A,PPLICATIUN <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 ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS �� S i"� PARCEL TAX I.D.# P MIT A <br /> "� �i � � (�L S 1 ( '�S/.t/J /1 /� ��iJ_L[LILSLi <br /> LEGAI. LOT N0. BLOCK TRACT OR SUBDIVISION/t <br /> OESC. <br /> OWNEP AD�RESS CITYIZIP PHONE <br /> !7�'� %/���) <br /> TENANT NAME CONTACTFOR PERMIT PHONE �p} q/� /7�/L <br /> �3�,1 �iu(> ��Cl�/ /�'JS/�/hlu7Z' e•rnai� k �ic�/r��,no%C'b�c�.� t�n� <br /> TTOiIfF—�� �� <br /> (n�r.'yfllA�!!rvu l�cG�S7Ai�rllDA�(���hb��ih�/N/ St�/Zf,�v4 � <br /> r✓ �tt Suvl�l �'�. 6- �(r< - )/I�^ <br /> CONTR.LICENSE p �I���� �' �J�"/��� <br /> . `.�,iylll� r>..;'q� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> /�'�'� ���� �� _Eleclric __Gas__Other �j0� L��c� <br /> WORK DESCRIPTION <br /> � i���GA'i�k Tr���� s��tA <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIxTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet FVC-air handlinc� units <br /> _ �alhlub _ Forced air syslems <br /> _ Lavalory (wash basin) Gas piping <br /> Shower W ater heater <br /> _ Kilclmn sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water healer Ranc�e hood <br /> Sink(service/barlmop/etc.) Exhausl fan <br /> Back(low prev��nler Heat pump <br /> Urinal Unit heater <br /> Drinking Fnuntain Boiler <br /> Floor drain Relrigeralion <br /> Greaso trap Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERE7T LOCAL SALES TA%COUE IS�105 <br /> I hereby ceritify that I have read and ezamined lhis applicalion and know Ihe samo to be irue and correct. All provisions ol�aws and <br />� ordinaces goveming lhis type of work will be complied with whelhr.r specified herein or noL The granling of a permit does no�presume <br /> lo yive authori�y lo violale or canc�l lhe provision ol any olher s�ate or local law regulatin�consWction or lhe performance of <br /> conslruction.Thal I am aulhorized by Ihe owner of Ihis property lo perlorm lho�vork lor which applicalion is made and I eomply with Ihe <br /> State Conhactors Law 1R27 RCW and 286.2G0 WAC. <br /> Ci �� ��fi�5�i��JLi '�C �J.�(NU�� <br /> Sign ure of OwnedConiraclorlAuthorized Ayent Dale <br /> �, ��� <br />