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- — - - —� <br /> F�cRMIT APPLICATIUN � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610— FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / � 6 �-/fJ I <br /> SITE P.DDRESS PARCEL TAX I.D. # PERMIT# � <br /> 3��,3o Goi.� Y �?�'E QO-c/i/�3ca�-�o/ 700 �B10a�--� ' <br /> LCGALI LOT NO. BLO K TRACT OR SUBDIVISION k I <br /> ocsc /7 ,� y,�'1/ � �J�'� <br /> OWNER ADDRESS CITYIZIP PHON��y�� "' I <br /> ��2. /�`/A�c/ CN,UR� 3��i�.��i�,��� 9�j.�i � <br /> TENANT NAME CONTACT FOR PGRMIT PHONE��T��—���Z� <br /> �JR i� y�� c�a��Nc n�A,ex c�TFer��,� n.M''f�cG�('i1 F��N � � <br /> E I�I� H�F�-- I <br /> CONTR. LICENSE N I <br /> USC- O� OUILDING E1ec1HcAT SGas CE Other �ON7RACT PRICE OF WORK <br /> s�EN�r�L c?��rc�' _ �yao� <br /> WCRK OESCRIPTION <br /> � j1 . � <br /> � PLUMBING MECHANICAL <br /> NO. tYPE OF FIXTURE OR ITEM � N0. TYPE OF FIXTURC OR ITEM i <br /> ' _ Toilet A1C—air handhng unAs � <br /> Ba�hWb Forced air sysleme <br /> = Lavatoy(wash basin) _� Gas piping � <br /> Shower Water healer I <br /> Krtchen sink 8 disposal Gas fireplace ��� <br /> Dishwasher Gas range <br /> qothes washer Clothes dryer � <br /> Water heater I�ange hood , <br /> _ Sink (servicelbadmop/e�t.) 'I Cxhaust tan I <br /> _ OackOow preventer 'r Heat pump I <br /> Unnal 'I Unil heater i <br /> _ Drinking Fountain � Eoiler �� <br /> Floor drain I Refngeration <br /> Grease trap Woodstove <br /> Rooi drains Other <br /> Olher _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby certify thal I have read and examined:his application and know the same to be true and correct All provis�ons o(laws and <br /> ordinances goveming Ihis type ot work will 6e complied with whether speci5ed herein or no1. The granUng of a permd does not presume <br /> lo give aulhont�lo violatc�or cancel the provision of any other state or local law regutating construclion or the peAormance o1 <br /> conslructivn.That I am aiAhorized by 1he owner of lhis property to perform ihe worl;tor which app�ication is made and I comply with ihe I <br /> Stale Cornrra�dors L2w 18 27 jiCW ar,d 296.200 WAC <br /> yI' J'� �.0 (� 1� �� (I 0 � <br /> /�'gmWre o1 ner/'onf�acl uthorized AgeM �ate <br /> �- -- _ _ -- _ _ �3 <br />