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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 4'LS-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Q(lJ j'D� '�Q� <br /> SITE ADURESS PARCEL 7AX I.D.It PERMIT i� <br /> � �O/ � � � o v fo / Do 300 � ���- �� <br /> LEGA LOTNO. BLOCK TRACT ,,/ ) J <br /> DESC. C��/ C ` G/q�Il qdd <br /> OWNER ADDRESS CIiV/ZIP PNONE <br /> %J�� /'���� /ds� � it/,/�s� �,�/„l� _ /�s'�5��33�> -/3s�/ <br /> 1'ENANT NAME -�ONTA�T FOR PERMIT PHONE <br /> SGi�2�¢� I SK`�7 � <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONiR.LICENSE fl � ��y� e �.�s /�.�yC� �� <br /> C/ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE Of WORK <br /> Gi u �;� � _Electric _Gas_Othor ) � f� r <br /> � <br /> WORK DESCRIPTION <br /> �l� �ra a �� 'v� <br /> PLUMBING A9ECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. 7YPE OF FIXTLRE OR ITEM <br /> Toilet NC—air handling unils <br /> BalhWb Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Wal2r healer <br /> � Kitchen sink 8 disposal Gas Tireplace <br /> Dishwasher Gasrange <br /> Clothes washer Cblhes dryor <br /> Wat�r heator Range hood <br /> Sink(service/bar/mop/elc.) [zhausl fan <br /> Backflo�.�prevenler Neat pump <br /> Unnal Unil hoater <br /> Drinking Fountaln Boilor <br /> Floor drain Refrigeretion <br /> Grease trap W oodstove <br /> Roof dreins Other <br /> Other <br /> � <br /> CITY OF EVLRETT LOCAL SALES 7NC CODE IS J705 <br /> I hereby c�rilify thal I have read and ezamined this applicaGnn and know the same lo be tru�and correct, AII provisions of laws and <br /> ordinacos govaming this rypa of work will be complied)vith whether specified heroin or not.The granting o(a psrmit does not presume <br /> to givo authority tdviol�e'or cancei lhep� ision o Ay other state or loca�law regulating consWdion or tha pedortnance of <br /> constmctio .Tb�l I fn'authai ed by NSo er Niis property to perform the work for which application is made and I comply with ihe <br /> Stalo o�act�rs gCv 18:27 CW �f88. � AC. � <br /> � '� � � r� `� <br /> Sig r 'o Owned ractodAuthorized Agent Date <br /> �IL <br /> / <br />