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PERMIT APPLICATION ������U��,� , � ` <br /> CITY OF EVERETT PERMIT SERVICE'�( " � � � �! �!=�; <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � ' ' <br /> 425-257-8810- FAX 425-257-8857-v✓ww.everettwa.org � ` �iiiJ; '� ' <br /> -'+�'` OF ;_;;::,..__ , <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM'' �' . 'i;;t,il(�r ' � Ct-�l <br /> uY r,r. <br /> SITEADURESS PARCELTAXI.D.# PERMIT# ^�_ jl�'`'� <br /> So - �� <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION k <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE •�j� <br /> � G- I�t��s _�ouo �-;ven�p�1 �v�!-P q8`ZO?, � <br /> TENANT NAME - I-� ( CONTACT FOR PERMIT PHONE�� ,�,5 t a,, <br /> �ol� ���✓�'11V,�' �D� 3l6 '�1L3E•MAIL `�7d�J <br /> CONTRAC70R ADDRESS CINIZIP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � <br /> Elertric Gas Other <br /> WORK DESCRIPTION . <br /> �ain�d �,�� �nl nsor� ��(aGl - (�ee �ic�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR IT[M NO. TYPC-Of FIXTURE OR ITFA7 <br /> Toilet FVC-air handling unils <br /> Balhtub Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> I(itchen sink 8 disposal Ges fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Waler healer Ran�e hood <br /> Sink(service/bar/mop/elc.) Exhausl(an <br /> 6ack0ow p!evenler Heat pump <br /> Urina� Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Re(ric�eration <br /> Grease,rap Woodstove <br /> Roo(drains Other <br /> Olher <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby c�:rili(y thal I have read and examined this application and Y,now Ihe same to be true and correcL All provisions o(laws and <br /> ordinaces goveming this lype of work will be complied wilh whelher specified herein or noL The granting o(a permil does not presume <br /> to 9ive aulhority lo violale or cancel Ihe provision of any olher slate or local 12e+regulating conslruction or the pedormance o( <br /> construclion.Thal I am aulhorized by the owner o(lhis property lo per(orm lhe work(or��hich application is mado and I comply with the <br /> S atc Conlraclors Law 18.27 RCW and 29�.200 WAC. <br /> � /_-�O-O <br /> Signalure of Owi dConlractor�ed Agenl Dale <br /> ��� <br />