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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, �VERETT, WA 98201 � <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 93� i3'"��sr z9os�800Zo��oo 3 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> /�DRT OF El�ERETT 29//�Ort//>ST. Et/E,QETT 98206 4Z5-38B-06 03 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I POL/ L U/S 425-388 -4603 <br /> CONTRACTOR ADDRE55 CITYIZIP PHONE <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Olher <br /> WORK DESCRIPTION � <br /> DEMOL�5.�1 E X�ST/NG BU/L D/NG NO. 3Z �' �,��, <br /> �NUG6ETj (H!/3J� �-�C� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet AIC—air handling unils <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal Gas firepiace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/moplelc.) _ Exhaust tan <br /> Backflow preventer Heat pump <br /> Urinal Unil hea�er <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodslove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceriti(y thal I have read and examined lhis applicalion and know Ihe same lo be lrue and correct. All provisions ot laws and <br /> ordinaces goveming lhis type of work will be compiied with whelher specified herein or nol.The granling of a permit does not presume <br /> to give aulhority lo violat�� cancei the provision of any olher slate or local law regulating construction or the performance ot <br /> construclion. That I am auth ri by Iha owner o(lhis properly to perform the work tor which application is made and I compiy with lhe <br /> State Contraclors Law 1 .27 C nd 296.200 WAC. <br /> / �• ,(.'S <br /> Signalure of OwnerlCo ut orizod Agent Data <br />