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i <br /> r ERMIT APPLICAT�vN <br /> CITY OF EVERETT PERMIT SEI�VICES <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 �I'-'��`�� <br /> SITE AUDREES PARCEL TAX I.D.# PERMIT#p /+ <br /> �VC/ �Gr� Wu I� O� v� ✓' <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ��fA�� ��� � ADDRESS CITYIZIP PHONF. <br /> `i �I2I G=VP✓�e�r uKr`/ <br /> TENANT NAME COhTACT FOR P�RMIT PHONE <br /> E•MAIL <br /> CONTRACTOR FYqr1I< ,�qYG_ PYc-/cc�^ ADDRESS '��/�7 Jc�IpS ITY/ZIP ��� °ISON 2n� Z2 7 <br /> �s y <br /> CONTR. LICENSE p wA <br /> �'�--u�, k � p �2�--c� - `Ld"�y�_ <br /> I� E OF BUILDING NEAT SOURCE CONTRACT PRICE OF WORK <br /> — — — , ,�-�oa4,;r'o <br /> Eleclric Gas Olher ,��r�� <br /> WORK DESCRIPTION <br /> —�, � i J, � ..� W n i.c <br /> PLUMB NG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C–air handling unils <br /> Bathlub Forced air syslems <br /> _ Lavalory(wash basin) � Gas pipinc� <br /> Shower Waler heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dr,�er <br /> Water heatar Range hood <br /> Sink(service/bar/mop/etc.) Exhausl(an <br /> Backflow preventer Heal pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodsteve <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify that I have read and examined this applicalion and know lhe same lo be true and correcL AII provisions of laws and <br /> ordinaces goveming ihis rype of work will be complied with�vhether specified herein or noL The granting of a permit does nol presume <br /> lo give authority lo violate or cancel ihe provision of any uther slate or local law regulaling construclion or ihe performance of <br /> construcfion.Thal I am aulhorized by the owner of lhis properly to per(orm Ihe work for which application is made and I comply�vilh lhe <br /> Stale Contreclors Law 1827 RCW and 296.200 WAC. <br /> ���; � . �'��yO� <br /> Signa(ure OwnedConlraclor/Aulhorized Agenl Date <br />