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P�RMIT APPLICATILN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEP.ETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TU 4 PM �� ., '�b _O� <br /> SITE ADDRESS PARCEL TAX�.D.# PERMIT# <br /> �'_ /Z �e���� �✓C_ ��/ <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADORE55 CITY/ZIP PHONE <br /> ��� �����„-, �s rz c�����. A4� ��t.�t+ 4�2�� <br /> TENANT NAM11E CONTACT fOR PERMIT PHONE <br /> E�MAIL <br /> CONTRAC 0 ^ 1 A � E I � � H <br /> �'INC�[f`_.0�1 .J-.451t��4�/C?� �y(AI�C' JhM"�CtS 7C:n1� I.i��l-I NI4.,5vIIc w'c �78Z7/ <br /> CONTR.UCENSE# �+'�'t�� �'" �' � `�v�� <br /> ��� AN�c ,�r=���1�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eledric �Gas__Olher <br /> WORK DESCRIPT,ON �7L,,� �_,5 i.L C- ,(� .�L� �-4 5 � n y c�{- <br /> ,.�� � �i�C ti <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUR£OR ITEM <br /> Toilet � A!C-air handling unils <br /> Bathlub Forced air syslems <br /> Lavalory(wash basin) � Gas piping <br /> Shower 1Naler healer <br /> Kitchen sink&disposal �+�� Gas fireplace <br /> Dishwasher , Gasrange <br /> Clolhes washer Clothes dryer <br /> Waler heater Range hood <br /> Sink(service/bar/mop/ela) Exhaust(an <br /> Backflow preventer _ Heat pump <br /> Urinal Unit healer <br /> Drinking Founlain _ Boiler <br /> Floor drain Refrigeration <br /> Grease irap Woodslove <br />' Ruof drainc Other <br /> Other <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3705 <br /> I heieby cerilify that I have read and examined this application and know the same to be We and correcL All provisions of laws and <br /> ordinaces goveming this type o(work will be complied wilh whether specified herein or not.The granting of a permil does not presume <br /> to give authorily lo violate or cancel the provisior�o(any other state or local law regulating construction or Ihe pedormance of <br /> construction.That I am aulhorized by the owner o(lhis property to perform 1he work for which application is made and I r,omply wilh lhe <br /> Slale Contrattors Law 18.27 RCW}�nd 296200 WAC. � <br /> � ��=` — �L� �'4�"'dY <br /> � �--� _ '__ <br /> SignAlur of 0—wn—er7Contrac odAuthorized Agenl Date <br />