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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADORESS � �-' ` '� ��� PARCEL TAX I.D.p PERMI�N/' / <br /> �� j �.11 . ��,� /nJil /�� i� �' l �,' - d�l� <br /> LEGAL I.OT NO. BLOCK TRACT OR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �� ( :/ (� <br /> TENANT NAMF CON ACT FOR PERMIT PHON <br /> �;,,;_ � F, �; /r�yr���,o��,�� `(7E.�A��- - 2��y� <br /> ���-�x � <br /> ? �> �J <br /> CONTR.UCENSE k " � � i �� � <br /> 1..�(� �� , y,� � !� _ l( ' .+ . <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � <br /> ��r�- �� i '� ✓r,� �� _Electrir. _ , Gas --_- Othm S OC�� 0 n 0 <br /> WORK DESCRIPTION <br /> ji��^ Y�'ln�E-- L � (_ I[. H7LfN ,� �'� /''-�_ <br /> PLUME3ING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilc� _ A/C-air handhng units <br /> BalhW6 Forcod air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler healer <br /> Kilchen sink 8 disposa� _ Gas fireplace <br /> Dishwashcr _ Gas range <br /> Cblhes washer Clolhes dryer <br /> Water heater Rango hooA <br /> Sink (servicolbar/moplolcJ _ Exhaust fan <br /> f3ackfluw pr�venter _ Heat pump <br /> Urinal Unil healer <br /> Drinkinc�FouNain Boilor <br /> Floor dr.in Refrigera�ion <br /> Greaso irap _ Woodstove �, <br /> __ Roof drains _ Olhcr I <br /> Olhor <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I hereby ceritily thal I have read ancl examined ihis application and know Ihe same to bo lrur. and correcl. All provisions of laws and <br /> . ordinar.es govmnin�Uiis type ol work will be cumplied with whether specitied herein or nol. The granliny ol a permit does no�presume <br /> lo yive aulhonly lo violale or cancel ihe provision ol any olher stale or bcal law reyul2ling construclion or the pedormancr.ol <br /> conslruclion. That I am authorizeA 6y the owner ol Ihis property lo peAorm lho work for which applicalion is made and I ccmply with Ihe <br /> Slale,Conlrar.�ors Law 1A.27 RCW,/�nd 296.200 WAC. <br /> "-�„7_� l� .�,�ir_�l /, �fi o� <br />� i9nalure ol OwnorlConlractodAuthorized Agenl Dale � <br /> � <br />