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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � � �I pq <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> �'c�-��a�-oi� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AD RESS . PARCEL TAX I.D.# PER # <br /> ��ir� i���n �� .� � p; >> � <br /> LEGAL LOT NO. BLOCK RACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYlZIP PHONE <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> E•MAIL <br /> CO TRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric Gas_Olher <br /> WORK DESCRIPTION <br /> �S��X���/P/ �1����v <br /> ri <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ NC—airhandlingunits <br /> Balhlub _ Forced air systems <br /> Lavalory(wash basin) _ Gas pipiny <br /> Shower _ Waler heater <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer Clothes dryer <br /> �I Water healer _ Range hood <br /> Sink(service/bar/mop/elc.) _ Exhausl fan <br /> Backflow prevenler _ Heat pump <br /> I _ Urinal _ Unit healer <br /> Drinking Fountain _ Boiler <br /> Floordrain _ Refrigeralion <br /> Grease trap _ Woodstove <br /> Roo(drains _ Other <br /> Olher — <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify lhat 1 have read and examined this applicalion and know lho same lo be true and correcl. All provisions of la�+•s and <br /> ordinaces goveminc�ihis lype o(work will be complied wilh whether specified herein or not.The granling of a permil does not presume <br /> to give aulhoriry lo violato or cancel the provision of any other state or local law regulaling construclion or the performance oi <br /> �- construclion.Thal I am aulhorized by lhe owner of lhis property to pedorm lhe work(or which applicalion is made and I comply wilh lhe <br /> Sldl Coniraclors Law 18.27 RCW and 296200 WAC. <br /> � • " � z4/o i <br /> �'y�'t � ,'��:,< a �� <br /> �naWro o(OwnedConlraclod lhonzed Agenl DaIB 1//� <br /> / ! <br />