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P�RMIT APPLICATIC,nI <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 ARE ACCEPTED FROM 8 AM TO 4 PM /� "D S"fl j <br /> SITE ADDRESS PARCEL TAX I.D.# ERMIT# <br /> //�O�- �/wY � P �1 /ay oU���-S' oo�ou� o � � U - c� _ <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION x <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE ,.p -/J/J �Tl <br /> A/UG7/� �'/ti/ 3�/S`" /S`y-t<� �G S� �3afslG LG- /v� <br /> TENANT NAME CONTACT FOR PERMIT PHONE 3a6-/,/� �.Z <br /> N-� fl' JIH� �J�S'��� /�/���� ��r/ E-MAIL <br /> CONTRACTOR ���7 GJ/f� AODRESSst��- ��a T IZ�`� P ONE <br /> CONTR.LICENSE N ��/J��S C 7 �� � � <br /> /� <br /> US[OF BUILDING HEAT SOURCE I CONTRACT PRICE QF WORK <br /> ��j��'����� _Electric �as_Other I -/� p �00 � <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> �alhtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler healer <br /> � Kitchen sink 8 disposal _ Gas(ireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> / Waler heater Range hood <br /> / Sink(service/badmop/etc.) _ Exhaust fan <br /> �_ Backflow preventer _ Heal pump <br /> Urinal Unit healer <br /> / Drinking Founlain _ Boiler <br /> _� Floor drain _ Refrigeralion <br /> Grease trap _ Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y thal I have read and examined lhis applicalion ar,d know lhe same tc. be true and corract All provisions of iaws and <br /> erdinaces c�overning lhis type of work will be complied wilh whelher speci(ied herein or nol.The granling of a permit does nol presume <br /> to give aulhorily to violate or cancel Ihe provision of any olher slate or local law regulating construction or lhe performance of <br /> conslruclion.Thal I am authorized by the owner of lhis property lo pedorm the work for which application is made and�comply with the <br /> Slale Conlractors Law 18.27 RCW �nd 296.200 WAC. <br /> ���,� %/� _ 9. D�7- O�j <br /> Signatur a�Own ont ac or/Authorized Agenl Dale <br />