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;:�:^ <br /> � <br /> PERiJIIT 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 ARE ACCEPTED FROM 8 AM TO 4 PM �rj..�� �D <br /> SITE ADDRESS PARCEL TAX�.D.# PERMIT# <br /> ���as � �crzl f��- � ►oi� c�Si <br /> LE6AL LOTNO. BLOCK TRACTORSUB�IVISION7t <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE t-Z� zs^i - <br /> �� <br /> ���'�� �I�25 �o.� (�0� ►��`'��,��� �z� <br /> TENAN� I COtipACT FOR PERMIT PHONE <br /> E•MAIL <br /> TRACTOR ��N�Z�P N <br /> Paruc � FFca-h�y Ulo�uf��p-+�' w�y �ve�e� �-p2S= 2SZ I�'0 <br /> CONTR.LCENSE# �'1 ��Zo3 <br /> USE OF BUILDINCa . HEAT SOURCE I CONTRACT PRICE OF WORK <br /> ��f� _Eleclric �Gas_,Other � 3� Q��/ <br /> ��, <br /> WORK OESCRIPTION n ���I�,n <br /> Iv���u�l N�u1 a��J ,�� � �.<<_�� <br /> ,.���,,. <br /> V <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM <br /> . Np, TYPE OF FIXTURE OR ITEM <br /> Toilel AIC-air handling units <br /> Bathlub I Forced air syslems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Waterhealer <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clolhes dryer <br /> Waterhealer _ Rangehood <br /> Sink(service/bar/moplelc.) _ Exhausl fan <br /> BackOow preventer _ Heal pump <br /> Urinal _ Unit healer <br /> Drinking Founlain _. Boiler <br /> Floordrain _ Refngeration <br /> — Woodstova <br /> _ Groase Irap — Olher <br /> Roof drains — <br /> Other — <br /> ITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hereby ceritify lhal I hav read and ezami�ed this application and know the same lo be Irue and conect. All provisions of laws and <br /> ordinaces governing lhis lyp ot-work will l�complied wilh whether specilied herein or not.The granting of a permit does nol presume <br /> to give aulhority to violale or cancel tFe pibv'sion of an state or local Iaw regulaling consWclion or the pedormance o( <br /> cnnstru ' n Thal I am authorized by the owne (thi prope y lo perform the work for which application is made and I comply with the <br /> Stat�Contra lors Law 18.27 RCW an 2 r ^ <br /> j � I lJ <br /> SignaWre o OwnedCogtre tor/Authorized Agent Da e <br /> � <br />