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PERMIT APPLICATIUN <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 <br /> SITE ADDRES5 PARCEL TAX I.D.# PERMIT# <br /> � ��p �/—pZ}. <br /> ;,L � l � � .J �i <br /> L_GAL LOT N0. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> M �c A-� i� (��-r.���ry ,� � iy ,�,��� S,- �,�— °/Y�i vZ5— si.� �4� <br /> iENANT NAME CONTACT FOR PERMIT PHONE �7 F S�3 35,. � c?�/c/ <br /> I 1 <br /> � � / <br /> ��,i�, Cj1-u+L1�? ( E•MAIL <br /> ONTRACTOR A��REI'S i <br /> ` ITYIZIP PHO <br /> ��J��e �,ti� <br /> CONTR.LICENSE# . <br /> > �...1:J� P �13ct..s i �� L. 3�_) �.�I: St �4 �� L�� w� `ij'"'�'�' G(1ti-3�-�4 <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> I �[leclric Gas Olher <br /> ( t� i C/�'^ ''w — — -- <br /> WORK DESCRIPTION <br /> 9 12- � l�i.�i`•�C. �.I-c� �'�� �»...; ,�,r S�,r—z <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ N/C–air h2ndling unils <br /> Bathlub _ Forced air systems <br /> Lavatory(wash basin) Gas pipiny <br /> Shower � Waterheater <br /> Kitchen sink&disposal _ G:,.;fireplace <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Clolhes dryer <br /> Waler heater _ Range hood <br /> Sink(service/bar/mopletcJ _ Exhaust fan <br /> BackOow preventer __ Heat pump <br /> Urinal Unil healer <br /> Drinkinc� Founlain _ Boiler <br /> Floor drain _ Refriaeralion <br /> Grease trap _ Woodstove <br /> Roof drains _ Olher <br /> Olher — <br /> — —I <br /> CI1Y OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilify thal I have road and examined lhis applicalion and know lhe same to be true and correcL Atl provisions of laws and <br /> ordinaces goveming lhis type o(work will bo compliad wilh whelher specified herein or noL The granC,�g of a permil does nol presume <br /> to give aulhority lo violate or cancel lhe provision of any olher stale or local law rec�ulating conslruction or Ihe peAormance of <br /> construclion. That I am authorized by lhe owner of this property lo per(orm Ihe work for which application is made and i comply v+ith the <br /> Slate Contractors Law 16.27 RCW and 296.?.001VAC. <br /> .�-�_ - y �-�/� <br /> SignaWre of Owner onlract uthonzed Agent ��e <br />