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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> �25•257-8810- FAX 425-257-8857 -www.everettwa.org <br /> � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a -a 9 `- �� <br /> SITE ADDRFSS <br /> � PE,RCEL TA:C I.D.# PERMIT il <br /> LEGAL` �N�1�`�/�v��CK TRACTORSUBDIVISION# M��Z'�C"J� <br /> DESC. <br /> OWNER ADDRE55 CITY2IP PHONE ,!�-���� <br /> .7 <br /> ���� �=i �l--f=� �,c.-°A/�,������r� '!i1 `��c�tr<�u=u����c �w�`�CU�I :�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE � <br /> E•MAIL <br /> CONTRACTOR A�DRESS CITYIZIP PHO E <br /> ,[�'�:��G->> T /�%.�-'�ii' iX� <br /> CONTR.LICENSE# <br /> Cj�,J�'l:2 <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Elnclric _Gas_Other <br /> WORK DESCRIPT�ON � /� y� �; �f' <br /> _. ��:/'" _. _� G"'� �.�'ti'L L�L, �u'1�LQ�C-�— <br /> / <br /> — /�)CGL,' c�: ,;:.� /-�/�--'� <br /> PL MBING MECriANICAL <br /> NO TYPE OF FI%TURE OR ITEM N0. 1YPE OF FIXTURE OR ITEM <br /> Toilet NC-air handling units <br /> Balhlub � Forced air syslems <br /> Lavatory(wash b.�sin) ✓ Gas piping <br /> Shower _ Water heater <br /> Kilchen sink 8 disposal _ Gas lireplace <br /> Dish�vasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Water healer Range hood <br /> Sink(service/badmop/elc.) _ Exhausl(an <br /> Back(low provenler _ Heal pump <br /> Urinal _ Unil healer <br /> Drinking Fountai� _ Boiler <br /> Floor drain Re(ric�eralion <br /> Grease trap Woodslove <br /> Roof drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat I have read and examined this applicalion anJ know lhe same lo be We and correcL All provisions o(laws and <br /> ordinaces goveming this rypo of work will be complied wilh whelher specified herein or not.The granling oi a permil does nol presune <br /> to�ive aulhority to viola�e or cancel the provision of any olher;late or local law rogulating conslruclion or the per(ormance of <br /> construclion Thal I am aulhorized by lhe owner o(this property to periorm the work lor which application is made and I comply with Ihe <br /> Slale Conlracl9�- .��'RCW and 296.2 WAC. � <br /> -� � � 8 <br /> / ~ tr,� / x�c� G> <br /> S� ro of Owrt�i C ntractur/Aulhorize gent Date <br />