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` <br /> F'�RMIT APPLICATII,N <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 A��9 TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �oo Ih ���s�� <br /> LEGAI LOT NO. LOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CIiY/ZIP PHONE <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> E-MAIL <br /> CO TRA R AD�R 5 ! PHON <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION � <br /> �n. �� �ll�l.1/v ,M/� '"� <br /> �s�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXNRE OR ITEM NO. 1YPE OF FIXTURE OR ITEM <br /> Toilet FVC—air handling units <br /> Dathlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink&disposal Gas(ireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Waler healer Range hood <br /> Sink(service/badmop/elc.) Exhaust(an <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinkinc� Founlain Boiler <br /> Floor drein Relrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> � Other _ <br /> CITY OF EVERETT LUCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify thal I have read and er.amined this application and kno�v Ihe same to be true and wrrect. All provisions o(laws and <br /> ordinaces goveming this type of work will be complicd with whether specified herein or noL The granting ot a permit does not presume <br /> to give authority to violale or cancei Ihe provision oi any olher state or local law regulating construction or lhe performance o( <br /> construction. That I am authorized by the owner of lhis property to perlorm the work tor which application is made and I comply with the <br /> Stato Coptrddlors 1;3w 18 7 RCW and 296200 WAC. <br /> .�r �=�.��-, &��rv� <br /> �i9naturo of Owner/ContraclodAulhonzed Agenl Date <br /> \I <br />