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F� :RMIT APPLICATI�.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, 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 ADDR::SS PARCEL TAX I.D.# PERMIT t� <br /> '� o� �lenWao V� 005 � � /Gl�S Y�3 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE f��S_ryyJ�_ <br /> Scy�� (���s�� '1tio7 GlenW�a� �w CUl1�c� w/f q�zo3 3oi� <br /> TENANT N ME I CONTACT FOR PERMIT PHONE Zol�- yz3�-�33.f <br /> SASon �tMei2f E•MAIL.�II1cVN�¢�Q,� �`IB MSN.L�ti <br /> �,� r R �tll S tc sw. p�c k5 ��� ' <br /> 1�815 7-4�' t��' SE G�{� zu(�- yz3 � 1�335" <br /> CONTR.LICENSE# n.�ug <br /> IISeSb�t�LM �t <br /> USE OF BUIL�G I — HEAT SOURCE I CONTRSA_CT PRICE OF WORK <br /> �5��i " Electric Gas Other '� � pD <br /> WORK DESCRIPTION <br /> �u,��a �,,�.k o., �� l��k o�F -Nte I���� u <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air handling units <br /> 6athlub Forced air systems <br /> Lavalory (wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Cbthes dryer <br /> Water healer Range hood <br /> Sink (service/bar/mnp/elc.) Exhaust fan <br /> BackOow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease�rap Woodstove <br /> Roof drains Other <br /> Othar <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certify that I have read and examined Uiis applicalion and know Ihe same to be true and correct. All provisions of laws and <br /> ordinances governing this type of work will be complied wilh whether specified herein or not. The granting of a pertnit does not presume <br /> Ilo give authority lo violate or cancel the provision of any other slate or local law regulating consiruction or the performance of <br /> construclion.That I am authorized by tlie owner of this property to periorm the work for which application is made and I comply with the <br /> Stale Corstr� ors w 18� RCW and 296.200 WAC. <br /> vs a � <br /> Signatur o Owner/ oniraclor/Aulhorized Agenl Dale � <br /> � L <br />