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,� � <br /> PtRMIT APPLICATICyN <br /> CITY OF EVERETT PERMIT SERVICE�' <br /> 3200 CEDAR STREET, EVERETI', WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM c� ,S O � <br /> SITE ADDRESS PARCEL TAX I.D.p PEF�'MIT# <br /> �� � i�l ����� U�. M�� <br /> LEGAL l0T NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADORESS CITY2IP PHO <br /> =��U /� 7 'rs��c�rtl G�, �i S,v�'_ � �'/�C�,et'� so���C�'�/o �s <br /> TENANT NAME CONTACT F PERMIT ��,F7:0 �� _��� �� � <br /> � �[Llx:. L �'� (i� l�.'i.� E-MAIL <br /> C �jAC O A R N j S ZG``�^� <br /> //L/n � �n.�. <br /> CONTR.LICENSE N , *.� I� �� ��-� � � <br /> p u�K „-� �'SO� R �'. 0. g9x �32�s2 P,v" � '� _ <br /> U5E OF BUILDING HEAT SOURCE ONTRACT PRICE OF WORK <br /> � �, �� 5 ' _Eleciric �Gas_Other ���� <br /> WORK DESCRIPTION ��r� �QGOn / ��O�� . <br /> �///a4�. Faz�. d <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> l oilel �C A/C-air handling units <br /> Bathtub _ _ . . ms <br /> Lavalory(wash basin) � Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal _ Gas tveplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water healer Ranc�e hood <br /> Sink(scrvicwbadmoplelc.) y � Exhaust lan <br /> Back(Iow preventer _ Heal pump <br /> Urinal U�it heater <br /> Drinking Founlein _ Boiler <br /> Floor drain Re(rigeralion <br /> Grease Irap _ Wootlstove <br /> Roof drains Other _ <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby cuitify ihal I have read and examined lhis applicalion and know the same to be true and correct. All provisions o(laws and <br /> ordinaces governing Ihis rype ol work will be complied wilh whelher speci(ied herein or noL The granling of a perm�t does not presume <br /> lo give authorily to violate or cancel lhe provision of any other slate or local law regulaling construction or the periormance o( <br /> construction.Thal I am authorizedby the owner of this property lo peAorm tho work for which application is mado and I comply with the <br /> Slate Contractors Law 18.2J�J and 296.20C WAC. <br /> �l�.�_�-.- <br /> _ C— - <br /> Sjgna re of�4hvnerlConlractodAuthorized Agenl Date <br /> �l� <br />