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� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 – FAX 425-257-8857 – www.everettwa.org <br />APPLICATIONS ARf ACCEPTED FROM 8 AM TO 4 PM �D �—O � <br />SITE ADDRESS PARCEL TAX I.D. # RMIT # <br />19 02 So�i�[t+sti• Euvctl. Mz+l� c ,o� Soo � Q g(� ' 0:3� <br />LEGAL LOTNO. BLOCK TRACTORSUBDIVISIONN <br />DESC. <br />OWNER ADURESS CITY2IP PHONE <br />�Pdd��Mo�_ 43`�3 Yo�+%�n•.+v� I��wp.� ece�d. C,t 9tr.� 444•a52• o�oo <br />TENANTNAME <br />i -ho <br />CONTACT FOR PERMIT <br />PHONE 4ZS 7FI5- <br />e-Ma� <br />crti <br />MarK2t Conbac�i^S 1625o NE ha+x srt.eot Ib.tia.,e¢ ok q�zzo So3 sl�-��: <br />CONTR. LICENSE # <br />l�1/+kK6L"`2l3 �R <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />�� _ Eleciric _ Gas _ Olher �22� 0(�+ <br />WORK DESCRIPTION <br />PLUMBING <br />NO. � TYPE OF FI%TU9E OR ITEM <br />Toilet <br />(wash <br />disposal <br />Drinking Four�lain \ <br />Floor drain <br />Greasetrap <br />F�of drains <br />O;her �y,�ir__f1$e� <br />N0. I TVPE OF FIXTURE OR ITEM <br />A/C — air handling un <br />Forced air syste <br />Gas piping <br />Water heater <br />Gas fireptace <br />Gas range <br />e hood <br />�st fan <br />pump <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y that I have read and examined this appiication and know the same to be true and correct. All provisions of laws and <br />ordinaces goveming ihis type ol work will be compl�ed wilh whelher specified herein or nut. The granting ot a permit does not presume <br />to givg autliorily to violate or cancel the provision ol any olt�er slate or local law regulating construction or ihe performance of <br />consti�yctic�. Th�t I ar�ii(�orized by ihe owner ol this property to pertorm ihe work lor which 2pplicalion is made and I compiy with the <br />Sia�e mvnt�llctor Lau� 1�Ej7 RCW ar�d 296200 WAC. � <br />�`Z <br />