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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 ARt ACCEPTED FROM 8 AM TO 4 PM �b_�5—d(� <br /> SITE AUDRESS ��"� Y��'-�-'� PARCEL TAX I.D.# PERMIT# <br /> � z y - ��W i��-- �� ��o - ,� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE yZ�-Z�T� -- <br /> S•�e uz �� ���« e�/ 7 �� y - fc�� �c� E ve��-�t flf/IaS 2�3 39��3 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR � �r I, �C a/�b ..� ADDRESS � J # CITY2IP PHONE <br /> � � i3vz(,- y lJ�e C S/r zioGui-yEZoy �zS�-a38 �-SS'y� <br /> CONTR.LICENSE q <br /> USE OF BUILDI!JG HEAT SOURCE CONTRACT PRI(:E OF WORK <br /> ���ux_ _Eleclric �Gas_Olher � CJ�C' ��� <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling unils <br /> Balhtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher � Gas range <br /> Clolhes washer Ciothes dryer <br /> Waler healer Range hood <br /> Sink(servicelbar/mop/etc.) Exhausl far <br /> Becic(low prevenler Heat pump <br /> Urinal Unit healer <br /> Drinkinc� Founlain Boilcr <br /> Floor drain Refrigeration <br /> Grease irap Woodstove <br /> Roof drains Olher <br /> =I Olher = __ <br /> CITY OF EVERETT l0;AL SALES TAX CODE IS 3105 <br /> I hereby ceritify tha�I have read and examined this application and know the same to be lrue and correct. All provisions of laws and <br /> ordinaces governing lhis rype of worl:will be complied with whether specified herein or nol The granting of a permit does nol presume <br /> to c�ivo authority lo violate or cancel the provision of an�other state or local law regulaling construction or lhe pedormance of <br /> conslruclion.That I am aulhorized by lhe owner of this property to pertorm lhe work(or which application is made and I comply wilh lhe <br /> Slale C t lors Law 1 27 R W and 296.200 WAC. <br /> � �� � (.�'-`t"L� <br /> Signa ure o(OwnedContractor/Aulhonzed Agent Date <br />