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� ` b �o <br /> PtRMIT ARPLICATIUN <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT', WA 98201 <br /> 42a-257-8810— FAX 425-257-8857—www.everettwa.org <br /> ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �//(Lv�2�� <br /> SITC AD�RESS �{ ` / PARCEL TAX I.D.JF PER / <br /> ';, ;i �,'�L��^ �1 Ll�� � V • I �� �G'� <br /> LEGA LOTNO. BLOCK TRACT � <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ;. ;i <br /> ���(1 � � l� � .. <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ;. ;, ;,� Ic ,- �.���_�� �'r� vzs �sQ 6sd y <br /> CONTRACTOR �vOI �� GLi^7 ����� ADDRESS CITYI�' IP PHONE <br /> 7� ��=.zr '�.�� s-� i8��z �.do �9y <br /> CONTR.LICENSE It INOL'I f.. l!�. �i �,-�� c"l�.� j G� �f� p_ Cy�/ /j J <br /> .�� r� Cit7 6 / <br /> USE OF BUILDING — HEAT SOURCE �CONTRACT PRIC[OF WORK <br /> Electric Gas Olher <br /> WORK DESCRIPTION � n <br /> j= �;���� lr � :/ � ! �r,�.r / � ir�� -�o�� 13 rPac -�'c �v-dJ-�-� s�r� l�,- <br /> � <br /> PLUM8ING MECi1ANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEi9 <br /> Toilel A!C—air handling units <br /> I = Bathtub = Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower W aler heater <br /> � Kitchen s(nk&disposal = Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> ! Waler heatcr _ Range hood <br /> Sink(service/barlmop/etc.) Ezhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heate r <br /> Drinking Founlain �iler <br /> Floor drain ::efrigeralion <br /> _ Grease trep VJoodstove <br /> Roo(drains ` Other <br /> 1 Other ;(tr i .�!�'l�.f;;�i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hr.reby ceriti(y Ihal I have read and examined this applicllion and know the same lo be lruo and correct. A;I prowsicns of I.�v�s and <br /> ordinaces goveming this type o(work will bo compiied with whelher specified herein or not.The granting o(a permit does not piesuma <br /> lo give authority lo violale or canEeTthe provision o(any other slale or local law regulaliny construction or lhe performance o( <br /> conslruclion.Thal I am authorizcd by the owner of Ihis properiy to perform Ihe work for which app:icalicn is made and I comply with the <br /> Stata Conlractors Law 18.27 RGW and 296.200 WAC. <br /> � U !lJ <br /> �._ � �C" �----��__. ! (/� �CIL^ • <br /> SigiiaWre of Owner/Conlractor/Authonzed Agent Dale �� <br /> . \,'� <br />