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��RN11T APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE i i, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 - www.everettwa.org <br /> APPI.ICATIONS ARE ACCEPTED FROM B AM TO 4 PM 6 �I �j � O� <br /> SITE ADDRESS S "� y PARCEL TAX I.D.k pERM1T I! <br /> /C, � U� � Glt S �'''�' n.-� � (� -bi �l <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION H <br /> DESC. <br /> OWNER AODRESS CITYIZIP PHONE <br /> � � r�— IN �' <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> ( I �>r��-�, ����� sk � y� ;, k�•��- ?-s"y � <br /> 7�'���-� � '���� E-MAIL <br /> �j��,ll �l f-_l�-�,i .ro ('a���i <br /> CONTR.LfCENSE M <br /> USE OF BUILOING I — IiEAT SOURCE I CONTRACT PRICE OP WORN <br /> ��� �� �' (��l(� � Elodric _Gas Olher <br /> WORK DESCRIPTION <br /> r��- - %�'%i <br /> ���i� �, jn,�ir_� C2.Si�/ SIf��Cr1-��f— : <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ NC—air handling units <br /> _ Balhlub _ forced alr systoms <br /> _ Lavalory(wash basin) Gas piping <br /> Showei Wator heator <br /> Kitchon sink 8 dispnsal Gas fireplace <br /> Dishwasher Gas rango <br /> Clothes washer Clothes dryer <br /> _ Walor heater Rango hood <br /> Sink(servir.c/bar/mop/alc.) Exhaust fan <br /> Backflow prevenlor Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boller <br /> Floor drain Re(rigeralion <br /> Greaso trap Woodstove <br /> Roof drains Olher <br /> --- Olher <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hmeby corilify thal I have read and ezamined Oiis application and know tha same to be Irue and correcl. All provislons ol laws and <br /> ordinaces c�ovurning ihis lypo ol work will bo complieA wilh whelher specified herein or not.The granling ol a permit does nol presume <br /> lo giv� aulhoidy lo violale or can� nl tho proviswn ol any other slate or local law regulating consWclion or lhe performance ol <br /> conslruction. That I am authorzed by ihe owner ol Ihis property to perform lhe work lor which application is made and I comply wi�h the <br /> St�l��Conlraclors La 18.27 R ' and 29f>.200 WAC. �+ <br /> �...._n . +� 1' �'�".� ' • � /'���1/� <br /> Si, naturr,nl Ownr.dConlrac��dAull',orized�9en� Dale <br /> '/� <br />