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---i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATION� ARE ACCEPTED FROM 8 AM TO 4 PM ���I`-�� <br /> SITE ADDRESS � PARCEL TAX I.D.# PERMIT# <br /> ��t.�� � ..�j g /�'F �,l G�i l� �1.�.'� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC <br /> r�rvi71P PHONE <br /> OWNER nuunwo _.. .._.. - . <br /> � � � � �� �,1 � �yo� /,�s�� �-��J /����s- �3�-a a�C <br /> � r� �� � c <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> GUCC�G��\ ��v_ �{b I _I E-MAIL <br /> CONTRACTOR / AODP.E:iS � ��TY;Z�P � HO3�6 Q� �3G <br /> (� •t- 5 lf�'irf�i , �co ������ r�Fc�r,'� l��c �D� I,��sf flli. ,i -5 � (- <br /> CONTR.LICENSE# <br /> � S f l�� �` 3 �t � 1. <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> 4�� <br /> EIe:Uic y Gas_Other � S On. <br /> WORK DESCRIPTION <br /> �V�S���� Y���' ��G�-� �1..�..� <br /> PLUMBING MECHHNICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C–air handling units <br /> Bathlub _ Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower _ Water healer <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Cbthes washer _ Clolhes drycr <br /> Water healer _ Range hood <br /> Sink(service/bar/mop/elc.) Exhaust tan <br /> Backtlow prevenler � Heat pump <br /> Urinat _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Re(rigeralion <br /> Grease trap _ Woodslove <br /> — Roo(drains =I Other <br /> i _ <br /> Olher <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i <br /> I hereby cerilify that I have read and examined lhis application and know lhe same lo be tiue and correcl. All provisions of laws and <br /> ordinaces�overning this type o(work will be complied with whelher speci(ied herein or nol.l'he c�ranting of a permil does not presume <br /> to c�ive aulhority lo vio�ale or cancel Uie provision of any olher state or local law regulaling construction or the pertormance of <br /> construclion.Thal I am auth 'zed lhe o�vner of this property to perform the work(or which application is made and I comply with lhe ,�� <br /> State Contra�to{s Law ts R d 29fi.�00 WAC. <br /> ��p���l:-fj���• ��� {�(� ..��'O� U — ! �� <br /> �`�= Date <br /> SignaWre of OwnedConlractodAulhorized Ac�ent <br />