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� PE� .lVI�T APPLICATIOh <br /> CITY OF EVERETT PF.RMI�' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.eve;ettwa.org <br /> ' a ' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P61 <br /> SITE ADDRESS %�� � > I PARCEL TAX I.D.t7 PFRMIT i._ <br /> ��v � '`" � � . ��o��zy �ven � � ;,� �.� ; <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS GITYRIP PHONE <br /> L,�� C� i���ti 1 -- <br /> TENANT NAM I CONTACT FGR PERMIT PHONE <br /> CONTRACTOR � ��S�D�RSSS�,� CITYIZIP PHONE <br /> �.1��`�r_ ` <br /> CONTR.LICENSE# �,/ ��n'�� � 1 ����5/'� <br /> �— L/ \ lJ <br /> US[ OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electric `Gas_Olher <br /> WORK DESCRIPTION <br /> ��`t"l,�u`�t� � �l�w �-U�c.�-�'t <br /> ��lc��v-ec� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handiing units <br /> Bathlub Forced air:yslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water hea'er <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> CIoU�es washer Clolhes diyer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.) __ Exhaust fan <br /> Back(low preven!er _ Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain _ Boiler <br /> Floor drain Refric�eretion <br /> Grease lrap _ Woodsto�� <br /> Roof drains Other _ <br /> Other <br /> i -- CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceri!i(y tl+at I have read and examined lhis application and kncw the same to be true and correct All provisions o(laws and <br /> � ordinaces goveming lhis type of work will be complied with v�hether specified herein or not The granting of a permit does nol presume <br /> to give aulhority to violate or cancel the ovision of any olher state or local law regulating construction or the performance of <br /> construction.That I apfp uthocjzed b he wner of this property to per(orm lhe work for which applicalion is made and I comply wilh the <br /> State Contrac r ��w 18 �17CW nd 2 6.200 WAC. <br /> � '� � �d �Z �� <br /> SignaWre o O iedConUactor/Aulhonzed Agent Dal <br />