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I <br /> � <br /> PERMIT APPLICATION <br /> C"TY 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 6 —J G —�� <br /> SITE ADDRESS 5 �� PARCEL TAX I.D.# ERMIT k <br /> jo�3 w, ��-s �,�� �- r� . C5- O�/C� <br /> LEC>.L LOT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> f j o F-,��� <br /> TENANT NAME ONTACT FOR PERMIT P,NONE <br /> n � <br /> , , y� ,-, ����, d- �.1 , U <br /> �',J �r N = � � �^�' '°°/�.s�`� ea�a� <br /> �A,�,,� ���, c r c.I�rJ iwN.c ;. G C7 � <br /> CO�R.LICENSE M <br /> USE OF BUILDING � — HEAT SOURCE CONTRACT PRICE OF WORK <br /> �.,ri���� .� Electric __Gas_Othcr �S� �l cc� <br /> i <br /> WORK OE5CRIPTION �- ` � �i � ,�� <br /> i � J,. . �( / '-'C'L. ?�( "�. li y J — � <br /> C�;n � Tl, <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FU(TURE OR ITEM <br /> Toilel A/C-air hanAling units <br /> Balhtub Fcrcod air systems <br /> Lavatoy(wash basin) _ Gas piping <br /> Shower Water healor <br /> Kilchen sink 6 dispo��l Gas(irepiace <br /> Dishwasher Gasranga <br /> Clothes washur Clothes dryer <br /> Wator hoater Range hood <br /> Sink (service/badm�,ilelc.) Exhaust(an <br /> Backflow prevenlei _ Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Bollor <br /> Floor drain Re(rigoration <br /> Groaso�rap _ Woodstove <br /> Roof drains Other <br /> I _ Olher--- — — —. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I lierehy cerilily Ihat I have read and examined Ihis applicalion and know the same to be true and correcl. All provisions of laws and <br /> ordinaces goveming this type of work will bo complied with whe�hor spocified herei�or not.The granting of a permit doee nol presumu <br /> lo give authorily lo violate or cancol Ihe provision of any olher stato or local law regulating construclion or the peAormance o( <br /> construclion. That I am authorized b tho owner ol this property to perform the work(or which application is mado and I comply with the <br /> Slat�Coniractors Law�18.27 RCW- nd 296.200 WAC. <br /> / � J <br /> i q <br /> %< (� ,�, . ,/ �/. (( , .1� , ✓ �J P,k <br /> Signature of OwnedConlrectodAulhorirod Agenl Date <br /> — -- --- <br /> �2 <br />