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( <br /> P�RMIT APPLICATION 1 ��� <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 AM TO 4 PM y���`�"/ '�� / I <br /> SITE ADD ESS PARCEL TAX I.D./ P MIT t <br /> �7�0 �o� c��-o <br /> LEGA LOT N0. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADURESS CITYIZIP PHONE <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> E-0IAII <br /> �OA�� b�6kES l�fl <br /> CONTR.LICENSE p <br /> a����N ��,5� �, ��,�o� <br /> USE OF BUILDIN — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPT,I(�N <br /> / I ' _� <br /> �;�''�I.JUv7�, %�1 , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilcl A/C—air handling unils <br /> Dalhtub Forced air systems <br /> L Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> � Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas rango <br /> Clothes washer Ciothes dryer <br /> Waler heater Range hood <br /> � Sink(service/bar/mop/elc.) Exhausl(an <br /> Dackllow prevenler Heal pump <br /> � Urinai Unit healcr <br /> Drinking Founlain Boiier <br /> Floor drain Ro(rigeration <br /> Greaso trap • Woodslove <br /> Rooi drains Olher <br /> Olher <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby cerilify Ihal I have read and examined lhis application and know the same to be true and correcL All provisions of laws and <br /> ordinaces governing lhis lypo of work will be complied wilh whelher speci(ied herein or nol The granting of a permil does not presume <br /> to give aulhorily lo violato or cancel the provision o(any olher state or local law regulaling construction or the pedormance ot <br /> construction. That i am authorized by lhe owner ol this property to pe�lorm the work for which application is made and I comply with ihe <br /> St lo Contractors Law 18.27 RCW and 296.200 WAC. <br /> ' � �� I <br /> ` �E. t;�. V' � �2 � ��i <br /> g aluro of OwnedConlraclodAuthonzed Agenl Date <br />