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� <br /> ��RMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 �EDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857–www.everettwa.org <br /> �—�-f�-O� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT p <br /> US s oO3 3 ' o L "� ' 6 �� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. 3� �., _ <br /> OWNER � ADDR S CITY2IP PHONE <br /> y�5'- 3Y� <br /> �/�i�,c.y�� �.«� Pv ��k /� ,�c�i�,2�,i y'F�6 ,s-a� <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> .-�— <br /> , L <br /> CONTRACTO ADURESS CITYIZIP PHONE <br /> CONTR.LICENSE# � ����� • <br /> �i�i��/�zp�n.��. <br /> USE OF BUILDING HEAT SOURCE ONTRACT PRICE OF WORK <br /> S ����! � _Electric �as_Olher p���Q�� <br /> i N!�( lc <br /> WORK DESCRIPTION <br /> � IS �Z �_� <br /> �`�l'tC�I�O� �hsGL� ��/`���-y '�- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> �_ Toilel A/C-air handling unils <br /> _L Balhtub Forced air syslems <br /> ,�_ Lavalory(wash basin) � Gas pipinc� <br /> � Shower � Waterhoaler <br /> _� Kilchen sink&disposal � Gas fireplace <br /> � Dishwasher � Gas ranc�e <br /> � Clothes washer � Clothes dryer <br /> Laundry lray _� Range liood <br /> Sink(service/barlmop/etc.) _� Exhausl fan � <br /> BackOow preventer Heal pump <br /> Urinal Unil heater <br /> Drinkinc� Fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodslove <br /> j �l.� Roof drains _ Olher <br /> j Olher _ <br /> CITY OF EVERETT LOCAL SALES SAX CODE IS J105 <br /> I hereby ceritify that I have read and examined this application and know the same lo be true and correcL All provisions of Iaws and <br /> ordinaces goverring this lype o(work will be complied�vilh whether specified herein or not.The granling of a permit does not presume <br /> lo give authority to violat�,.ercan Ihe prov�on of any other state or local law regulaling conslruction or lhe performance of <br /> conslr � That I ifaulhorized b hey� n r of this property lo per(orm lhe work for which application is made and I comply with the <br /> Stat o (ract w 1827 RCW an 96. 0 WAC. <br /> 6' aa <br /> fure o Owner/ o t ionze D te �� <br />