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F ;RMIT APPLICAT� �N <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT A� <br /> � ��7��l�ca� pr��a - ix�a I1 <br /> LEGA LOTNO. BLOCK TRACT � �( <br /> DESC. � i <br /> OW R AUDRESS CITY2IP �NONE - _� _ �r <br /> q— �n .� — � S <br /> TE T NAME CONTACT FOR PERMIT PHONE <br /> � / ��N r�?�� �v�, h��5-353-r//�/ <br /> CONTRACTOR � ADDRESS d CITY2IP PHONE <br /> �oN,�LVe�e�l- �i �c�s 1.riC. a�8/S �I��Rc�. N� h��53-r//� l <br /> _��� �OI 1��. / c29-'�DIC� �2��hl�oN � �,1�19• q�o�o�?3 <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PR�CE OF WORK <br /> Electric Gas Olher <br /> WORKDES�T� � �� r��l� �flunicl2�l J� ( � `� <br /> J� <br /> � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathlub Forced air syslems <br /> Lavatory(�vash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas firepiace <br /> Dishwasher Gasrange <br /> Clothes washer Clolhes dryer <br /> � Laundry lray _ Range hood <br />- Sink(service/badmop/elc.) Exhaust fan <br /> BackOow prevenler Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES SAX CODE IS 3705 <br /> I hereby cerili(y that I have read and examined this application and know lhe same lo be true and correct. Ail provisions of laws and <br /> ordinaces goveming t ' y e of work will be complied wilh�vhether specified herein or not.The granting ot a permit does not presume <br /> to give authority to ' late o�cancel the provision of any other state or local law regulating construction or the performance of <br /> construclion.That I aulfx>rized by lhe owner of this propeRy to perform the work for which application is made and I comply with lhe <br /> Slate ontractors La 8.2�'RCW and 296.200 WAC. <br /> / <br /> Signature o wner/Contreclor/A onz genl Date <br />