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�i - �4 -06 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3700 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 <br /> SITE AD�RESS PARCEL TAY.I.D.# i PERMIT#, <br /> a �- �I6 �-�� 5- � P u �� - ��° I <br /> LEGAL LOTNO. BIOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> s�O�fd,a.� R�.le.s� • __ <br /> TENANTNAME �� CONTACTFORPERMIT PHONE <br /> `�Kair .� �� � �7'e,�.es�r� 3�a �I �( B62 J <br /> CONTRACTOR V,/Q� PI W'YL 6/�.g ZYIC ADDRESS ��.'� � '�-tr�' ,,j'f CIN21P PHONE <br /> sE- s-13 9aa�a .�a � v 86 2/ <br /> CONTR.LICENSE p W olfePt o33cJ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PkICE OF WORK <br /> �..��Z �� _Eleclric _Gas_Olher �� <br /> WORKDESGRIPTION ��,(,Q�� ��K � �J,�A ��u�,y� ���0� <br /> `_ a - .. . __a .� <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FiXTURE OR ITEM <br /> Toilet A/C-oir handling units <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) Gas pipiny <br /> Shower Water healer <br /> Kitchen sink&disposal Gas fiieplaca <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> � Water healer P � S�n � Ranc�e hood <br /> � Sink(service/bar/mo /etc.) f}R.( Exhaust fan <br /> Backflow preventcr Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor draln Retrigeration <br /> Greaso lrap Woodslove <br /> Root drains Other_ <br /> Olher _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerility lhat I have read and examined Ihis appiication and kno�v lhe same to be We and correct. All provisions of laws and <br /> ordinaces�overning lhis rype o(work ' b complied wilh whether specified herein or not.The granling of a permit does not presume <br /> lo give auuioriry to violato or cancel t �pr ision o(any other slate or Iocai law regulalinc�construction or the pertormance of <br /> co .truclion.Thal I am authorized b Ihe wner o1 this property 10 peiiorm Ihe work for which application is made and I comply with the <br /> Sl t CoNractors Law 18.27 RCW n 9620 WAQ C. . <br /> �J �- Z�' -�� <br /> Signa tor/Aut ed Agent Dale <br /> l�� <br />