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PERMIT APPLICATION a ��� <br /> CITY OF EVE02ETT PERMIT SERVICES �7 I � <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 <br /> SITE ADDRESS PARCEL TAX I.D.M PERMR M <br /> //�/� .�ver kJ � �cv�iz -oos <br /> LEGA LOT NO. BL K TRACT <br /> DESC. <br /> OWNER ADDRESS CITYltIP PHONE <br /> TENANTNAME CONTACTFOR ERMR PNONE <br /> fI0 �6%;� �w+ps J� A �o6 .�s�.� �/�--.3 <br /> CON ACTOR�jx-� �I�� S' ADDRESS �-p f CITY2IP PH,O,/NE <br /> r//V �� � n�� �vs aJ/ �u/`�/�/� �-�U <br /> CONTR.LICENSE K�`�-/����,A�`, ^�/�� ��_�/�� <br /> /U f� � V `� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric _Gas_Other � QD� <br /> WORK DESCRIPTION <br /> /�%'� SG���S�'���� �S�/�i�� ��(1� � HauO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR 17EM <br /> Toilet A/C-air handling units <br /> Bathlub Forced alr systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeretion <br /> _ Grease trap Woodstove <br /> Roof drains Other <br /> _ Other _ i/;yf ���1 <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritity that I have read and examined this application and know the same to be true a�d correct. All provisfons of laws and <br /> ordinaces governing this type of work will be complled with whether specified herein or not.The granting of a permit does rwt preaume <br /> to give authority to violate or cancel the provision of any other state or local law regulatlng construcdon or the perfortnance ot <br /> construc' .That I am authorized by the owner of lhis property to peRorm the work for which applicadon is made and I comply with the <br /> Stat ont ctors Law 18.27 CW and 296.200 AC. <br /> /Cont ho d ent a ` s �j �I�j <br />